LA PIAZZA exclusive Shoefashion      ORDER-FORM
HH-STUDIO
Gerhart-Hauptmann-Str. 92
40699 Erkrath-Unterfeldhaus -Germany
phone: +49 (0) 211 209 2084
fax  +49 (0) 211 209 2158
We will confirm your order asap.

*** YOUR  ADDRESS ***
Customer-No:  (for Firstorder "NEW")
Firstname:
Familiy-Name:
Street:
ZIP:
City and State:
Country:
Telephon:
EMail: (important) Are you sure ??
Birthday:
Notes:

                                      *** DELIVERY AND PAYMENT-METHOD ***

Unworn shoes can be returned within 14 Days ! ( No Special Design´s )
 

Payment and delivery   (No COD)  :

Moneyransfer with post :
at Western Union money transfer services

Banktransfer :
Raiffeisenbank D- 40789 Monheim BLZ: 370 695 21 Konto: 10 24 11 021
IBAN DE24 3706 9521 0102 4110 21  - SWIFT BIC Code GENODED1MNH

Stadtsparkasse D-40723 Hilden     BLZ: 334 500 00  Konto: 34 365 155
IBAN DE38 3345 0000 0034 3651 55- SWIFT BIC Code WELADED1VEL

Your Creditcard :  Card-No.      :  Expire-Date  : 
Creditcard Verification Value  (3 digits on the back) : 
 
 

  *** YOUR ORDER ***

Heels - with 4 inch = 10 cm (size 38/ 5 UK / 7 US ) or 5,5  (size 38/ 5 UK / 7 US ) to 6 inch = 16 cm  (size 43/ 9 UK / 12 US )

Please click the box for the article:
If you want to order more articles please use the backwards key and add the next 3 items:
Art-No  Description  Size Colour Material Heel Price

Total
Fright, package and insurance
Grand Total