Have you paid your deposit?

Name

First Name

Last Name

Email Address

This is the email I will be using for contact and invoice

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Country

(###)

###

####

Style

Leather

Welt

Soles

Heel

Edge Finish

Toebox

Toe Track?

For Engineer Style ONLY

NOTICE:

Please provide accurate measurements. (DO NOT add extra to your size). There is a no return policy, so please measure twice.

Feet Measurements:

It is best to measure your feet with the style of socks you will be wearing your boots with. Please be sure to stand shoulder width apart. Please see the pictures below on how to measure your feet. (Increments in centimeters please.)

Length (CM):

A: Ball (L / R)

B: Waist (L / R)

C: Instep (L / R)

D: Long Heel (L / R)

E: Heel (L / R)

Circumference of leg measured 6" from the ground:

Extra Details:

How did you hear about Role Club?

Thank you for your submission! I would like to confirm that I have received your submission. I will reply as soon as possible. Thank you for your patience.

Boot Order Form