Email Order Form

Fill out and hit submit button at bottom

Please Enter Email Address For Shipment Confirmation
Ship To:
Bill To: (if different)
name:
name:
business name
business name
address 1
address 1
address 2
address 2
city
city
zipcode
State
State
zipcode
telephone
email address

Enter Size, Colors, and Amounts Here
Pricing Tyless Convertibles
No. of  pairs   $ Each        S/H           Total

1                      $5.95       $2.25         $8.20
2                      $5.45       $2.25       $13.15
3                      $4.95       $2.45       $17.30
4                      $4.95       $2.65       $22.45
5                      $4.95       $2.80       $27.55
6                      $4.95       $3.00       $32.70

Pricing Convertibles Plus

1                      $7.95       $2.25       $10.20
2                      $7.45       $2.60       $17.50
3                      $6.95       $2.75       $23.60
4                      $6.95       $3.10       $30.90
5                      $6.95       $3.30       $38.05
6                      $6.95       $3.60       $45.30
Lace Size
Lace Color
Quantity
Enter Total Amount Paid
Comments:
 
 
 
 
Credit Card Payment

Once you have filled out and submitted
this form, call Tyless at:  
541-731-4533
with your credit card number and
expiration date.

If you prefer, you may call Tyless to place
an order directly over the phone at this
same number.
Additional pairs may be purchased at a price of $4.95 each with
no additional price for shipping and handling.  You may mix and
match sizes and colors,

Mastercard, Visa, American Express and Discover   
                                 accepted