TXTURE mail@txture.

asia
KOPOPERMAI2B1No.4 www.txture.asia
BANDUNG,40239WESTJAVAINDONESIA

MADETOORDERFORM2016
CUSTOMERINFORMATION
Date

Name(Last,first,middleinitial) PHONE(1)

Streetaddress PHONE(2)

City,Country,ZIPCode Emailaddress

UPPER

1. ARTICLE
LOWQUARTERSHOES BOOTS 2.CAP

LeonOxford ManfredBoots WarhorseBoots Toecap

MansionLongwing SanityBoots MarchingBoots Plaintoe
CivilShoesDerby VictoryBoots SupremacyBoots Wingtip
.. PacificBoots .. Apronstitch

3. LEATHER 4.EXTRAS 5.EYELETSSPEEDHOOK

Brown(Chestnut) Black 8Eyelets SolidBrass

Brushedoffbrown Oxblood 9Eyelets SilverNickelPlated
Darkbrown RedWine 5Eyelets+2SpeedHooks Black
ScratchedBrown Roughouttan 5Eyelets+3SpeedHooks
Roughoutblack .

6.LINNING 8.SIZE

Lined(BackandToecounter) Widthincm ..
FullyLinedLambskin Lengthincm ..

7.TONGUE Usualshoesize ..
(us/uk/eur)
Reguler
Gusseted

[Note:Pleaselistanalternativerequestinformationfortheupperbelow.]

Page1of2

 BOTTOM

1. SHOELAST 2.CONSTRUCTION 3.WELTTYPE* 4.EDGETRIM

Budokan Goodyearhandwelted Flatwelt Natural

Siuri Veldtschoen Stormwelt BrownTea
Serenity Norvegese 2700Stormwelt DarkCoffee
.. Cadenon/Triroles *skipifyouchoose Black
VeldtschoenConstruction

5. OUTSOLE 6.HEELSTYPE*

Leathersole DainiteBritishSole Reguler

HalfMicrorubber EvaWedges Cuban/Western
FullMicrorubber *skipifyouchooseEVAWedgessole
Commandorubberpad

[Note:Whatelseshouldweknow.]

Page2of2