Email your order to:
SAFETY@webtv.net
Or Regular Mail to:
Prevention Foot Safety Insoles
99 Marshall Street
Winthrop, MA 02152
How many pair of Insoles you're ordering and size(s):_____________________________________________________
Routing Number: _ _ _ _ _ _ _ _ _ ( 9 digits at bottom left of the check)
Account Number__________________________
Check Number____________________________
Bank Name and Telephone #__________________________________________________
Full Name as it appears on your Checking Account_____________________________________________________
Your Street Address________________________________________________________________
Your City, State and Zip Code______________________________________________________
I Authorize John August dba Prevention Foot Safety Products to debit my account ONE time only in the Amount of __________.
After I receive the above, your order will be processed promptly.
When the information is sent to the Automated Check Transfer Company,
precautions are taken to insure a secure transaction.
Need more information on A.C.T.? Please visit Automated Check Transfers Website.
If you have any further questions, please send me email at: SAFETY@webtv.net