Order Information

Shoe Included? 

Cleat Included?

Additional Order Information


Personal Information

E-mail 

Company

First Name 

Last Name 

Billing Address Information

Billing Address Information

Billing Address Information

Mailing Address 

City 

State / Province
  (only for United States and Canada)

ZIP / Postal Code 

Country 

Phone 
  (This number will be used only if we cannot reach you by e-mail.)

Fax 

Payment Method

Payment option 
  - If Credit Card; CC Number:
Your coupon code
Please enter your coupon code (if available).
   
ONCE COMPLETED PLEASE PRINT AND INCLUDE WITH SHIPMENT

One Year Warranty
Custom Cleats Inc. provides a one year warranty on the attachment of the cleat plates to the athletic shoes from the date of manufacture.

Disclaimer
 Custom Cleats Inc. is not responsible for the damage to the athletic shoe provided by the player that might occur during activity.  Custom Cleats Inc. is not responsible for any injured occurred during any activity.


Once Complete Please Send to:

 CUSTOM CLEATS INC.
 Anthony  Ambrosini
 2336 Louis Kossuth Ave.
 Ronkonkoma, NY 11779
 Phone: (631) 664-5273
 
Fax: (631) 588-5932