Classic Pumps Order Form

To place an order or ask a question please complete the following form and click on the
"Send to Classic Pumps" button at the bottom.
The required fields must be filled in or the form will be rejected when you submit it.

Please allow up to 48 hours for return E-mail responses or order processing.  
We promise we'll respond to you as soon as possible.  We appreciate your patience!

Note:
This is a SECURE on-line form when accessed from our order page.
If your browser supports secure forms it may display visual cues to inform you such as a solid blue line
at the top of the display area OR a solid key in the lower left of the status line.

A secure form simply means that all form data is encrypted for security.

Name: Required!

Ship-To Address:

Apt/Suite and/or floor: This info is required if applicable to your address or required by UPS or FedEx for delivery.

City:

State or Province: Required!

Zip Code:

Home Phone number (including area code):

At least one phone number is required for ALL credit card orders.

Work Phone number (including area code):

Country:

Your E-mail address (Required!):

AOL members be SURE to include your full email address that includes the @aol.com.

If you have not received a response from us within 48 hours of submission of this form,
it is because you did not submit an email address or the one that you supplied was incorrect or incomplete.

Your email address will be tested for validity.
While we respect your right to privacy, we WILL send you a return email.  
If email is returned to us as undeliverable, your order will NOT be processed!  
This is for YOUR protection and in case we need to ask you questions about or give you information about your order. 

How did you find us? Select an option and provide details in the Message Box.

Credit Card Number : (Visa/MasterCard or Paypal)

To use Paypal, just specify Paypal in the card number field, leave the expiry and verification fields blank.
We'll send you an email confirmation with an order total and a link to the Paypal payment checkout page.
If paying via Paypal you can use your Paypal account, Visa, MC, Discover or Amex.

(please separate numbers into groups as shown on card using spaces or dashes)

Credit Card Expiration Date:

Credit Card Verification Number (On the back of your card find the series of digits at the end of your ccard number:

Billing address same as shipping?  Yes If not  please specify in the fields below.

Ccard Billing Address (must match the address on your monthly statement):

City:

State:

Zip Code:

Shipping address is residence or  business ?

What are you ordering (brochure, handbag, shoes):

If you're placing a shoe or handbag order please tell us exactly what you're looking for.  
You might also want to specify a second or alternate choice in case your first choice is temporarily unavailable.

If you are in the U.S. or Canada, we'd also appreciate a daytime and/or evening phone number where we can contact you in case we have questions.

Remember, shipping for 1 or 2 pair of shoes is $14.00 for UPS shipping.
BE SURE to provide correct shipping address.
Reships caused by incorrect addresses or zip codes will result in a $5.00 surcharge to your account.

Please put your order details (shoe style names, sizes, colors, etc.) and any special instructions for us to follow in the Message Box below:

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