Event Order/ Purchase Form

Please take a look at the pictured shoes below and/or visit a website listed below.
At the bottom of the page, please use the order form to fill in the style/color/brand/size
of shoes you would like to order through payroll deduction.
You can add additional items to order or other requests in the notes section.
Feel free to call or email us with additional questions.
Please do not place orders through the websites. Orders for payroll deduction must be placed through the order form below. 
For credit card purchases, please contact us via phone or come by the store.

DANSKO

prof zebra brush off

Professional Zebra Brush Off

$139.95

lt pro tooled watercolor

LT Pro Watercolor Tooled

$149.95

prof honey distressed

Professional Honey Distressed

$139.95

DNKO4

Professional Cordovan Cabrio

$139.95

dansko professional camo suede

Professional Camo Suede

$149.95

DNKO6

xp 2.0 Black Floral Tooled

$149.95

DNKO22

Professional Fragment Patent

$149.95

dansko kane blue

Kane Blue

$79.95

DNKO23

Kane Black

$79.95

DNKO21

Pace Black

$149.95

tiffani black

Tiffani Black Leather

$139.95

tiffani tan

Tiffani Tan Leather

$139.95

remi black

Remi Black Leather

$129.95

remi red

Remi Red Leather

$129.95

dansko reece black

Reece Black Leather

$129.95

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BIRKENSTOCK

BRK1

Arizona Black Birkoflor

$109.95

BRK2

Arizona Taupe Suede Soft Footbed

$139.95

BRK3

Arizona Oiled Habana Soft Footbed

$139.95

BRK4

Arizona Mocha Suede

$129.95

BRK5

Granada Oiled Tobacco Soft Footbed

$139.95

BRK6

Granada Black Birkoflor

$109.95

BRK7

Mayari Black Birkoflor

$109.95

BRK8

Mayari Oiled Habana

$129.95

BRK9

Mayari White Birkoflor

$109.95

birkenstock bend low white

Bend Low White

$150.00

gizeh braid

Gizeh Braid Black Leather

$129.95

gizeh braid dusty blue

Gizeh Braid Dusty Blue Leather

$129.95

ALEGRIA

bailee dog and butterfly

Bailee Dog and Butterfly

$124.95

alegria insoles

Alegria Replacement Insoles

$29.95

roz charm

Roz Charm Black

$89.95

debra brick by brick

Debra Brick By Brick

$139.95

traq sugar skulls

Sneaq Sugar Skulls

$99.95

debra wildin

Debra Wildin

$139.95

KLOGS

KLOGS INSOLES (2)

Klogs Replacement Insoles

$24.95

moxy electric gator

Moxy Electric Gator

$139.95

klogs moxy candy skulls

Moxy Candy Skulls Patent

$139.95

KLG4

Mission Amstercats Patent

$139.95

moxy cartoon puppy

Moxy Cartoon Puppy

$139.95

KLG6

Moxy Black Leather

$139.95

UGG

UG1

Classic Short Chestnut

$169.95

UG2

Classic Short Black

$169.95

UG3

Classic Mini Black

$149.95

UG4

Classic Mini Chestnut

$149.95

UG5

Ascot Black Leather

$129.95

ugg fluff yeah red

Fluff Yeah Red Ribbon

$99.95

UG13

Classic Tall Chestnut

$199.95

UG14

Classic Tall Black

$199.95

UG15

Bailey Button Triplet Grey

$219.95

UG16

Bailey Button Triplet Black

$219.95

UG17

Bailey Button Black

$179.95

UG18

Bailey Button Chestnut

$179.95

UG7

Scuff Black Suede

$89.95

UG8

Scuff Chestnut Suede

$89.95

UG9

Coquette Black

$119.95

UG10

Coquette Chestnut

$119.95

UG11

Dakota Chestnut

$99.95

UG12

Dakota Espresso

$99.95

HOKA

bondi 7 bgff

Women’s Bondi 7 BGFF

$159.95

HOKA BONDI 7 HMSH

Women’s Bondi 7 HMSH

$159.95

clifton 8 bgfr

Women’s Clifton 8 BGIR

$139.95

bondi 7 ncry

Men’s Bondi 7 NCRY

$159.95

gaviota bbgp

Men’s Gaviota BBGR

$169.95

gaviota bblc

Gaviota 3 BBLC

$169.95

CROCS

platform yellow graphic

Platform Yellow Graphic clog

$59.95

platform butterly

Platform Butterfly Clog

$59.95

CRK4

Classic Clog Black

$49.95

classic tie dye

Kids’ Classic Tie Dye Graphic Clog

$44.95

SALTWATER SANDALS

SLT7

Original Tan

$44.95

SLT8

Original White

$44.95

SLT9

Original Black

$44.95

SLT4

Surfer Pink

$44.95

SLT5

Surfer Tan

$44.95

SLT6

Surfer White

$44.95

TAOS

TS_1

Plim Soul in Navy Multi

$99.95

TS2

Plim Soul in White

$99.95

prize 4 steel multi

Prize 4 Steel/Multi

$129.95

taos 4 black exotic

Prize 4 Black Exotic

$129.95

universe black

Universe Black

$169.95

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SPRING FOOTWEAR

SPRNG1

Fusalide White

$109.95

SPRNG2

Fusalide Blue

$109.95

SPRNG3

Fusaro Grey

$109.95

SPRNG4

Fusaro Grey

$109.95

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JAMBU

JMBU1

Lilac in White

$109.95

JMBU2

Lilac in Red

$109.95

JMBU3

Bellerose in Red

$109.95

JMBU4

Bellerose in Tan

$109.95

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Please fill out the form below and submit. If you have any questions or notes, please leave them within the last box.

Thanks – Roxanne’s Birkenstock