Order form for Sandals

Namerequired

First name

Last name

Addressrequired

Phone numberrequired

E-mailrequired

E-mail Retype

Itemrequired

Leatherrequired

Optionsrequired

Brass buckle (for W-Monk) +2,080 JPY

Black dyed buckle (for W-Monk) +2,080 JPY

Leather combination specification +1,600 JPY

Instep cushion specification (for W-Monk) +1,560 JPY

For the leather combination specification, you can choose different colors for upper leather and footbed.
Please add the type of footbed to the ’other requests’ below.

Sizesrequired

Rubber midsolerequired

Sole stitchingrequired

Outsolerequired

Other requests

このフォームはFormzuで作成しました。