Home » Useful information » Online footwear order form

Online footwear order form

Using our online ordering form, it is possible to send scanned copies of patient outlines or 3D scans of patients feet (preferably in stl format).

A. Customer Details

Name (required)

Address (required)

Post Code (required)

Your Order No. (required)

Contact Telephone No. (required)

B. Patient Details


Age (if under 18).

C. Shoe/Boot Details

Range (required)

Style (required)

Last Type (required)

Main Colour/Material (required)

Secondary Colour/Material

Fastening Type

Width Fitting

D. Special Requirements

Please advise delivery address here if different from Secion A.

E. File uploads

File 1:
File 2:
File 3:
File 4:
File 5:
File 6:

Ordered by (required)

Position (required)

Date of Order (required)

We would love to add you to our mailing list

By ticking this box, you consent to us sending you our latest offers and news updates


Get in Touch

By ticking this box, you are happy for us to add you to our email marketing lists.