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Order Form

Please provide us with the following information in order for us to assist you with crafting your new orthotics. Thank You. After your payment is made, your Elite Feet box will be shipped to you!

Name*
First Last
Email*
Enter Email Confirm Email
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Where did you hear about Elite Feet?
Age
Height
Weight
Shoe
Please list the shoe size, type of shoe (s) and brand (s) currently worn.
Have you worn orthotics in the past?
Are you diabetic?
If yes, do you have any circulation or nerve problems in your feet?
Please describe
Problems or Injuries
Please tell us about any athletic injuries you have now or in the past.
Activities
Please list/describe your athletic activities.
Do you have a diagnosed leg length difference?
Shoe width
Are you knock-kneed or bow-legged?
After you click SUBMIT you will be redirected to a VENMO payment page. Please pay $100 deposit there and we will get you started. Thank you.
How many legs does a dog have?*
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Comments
This field is for validation purposes and should be left unchanged.

Order Form

Please provide us with the following information in order for us to assist you with crafting your new orthotics. Thank You. After your payment is made, your Elite Feet box will be shipped to you!

Name*
First Last
Email*
Enter Email Confirm Email
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Where did you hear about Elite Feet?
Age
Height
Weight
Shoe
Please list the shoe size, type of shoe (s) and brand (s) currently worn.
Have you worn orthotics in the past?
Are you diabetic?
If yes, do you have any circulation or nerve problems in your feet?
Please describe
Problems or Injuries
Please tell us about any athletic injuries you have now or in the past.
Activities
Please list/describe your athletic activities.
Do you have a diagnosed leg length difference?
Shoe width
Are you knock-kneed or bow-legged?
After you click SUBMIT you will be redirected to a VENMO payment page. Please pay $100 deposit there and we will get you started. Thank you.
How many legs does a dog have?*
Our SPAM blocker!
Email
This field is for validation purposes and should be left unchanged.

Order Form

After you click SUBMIT you will be redirected to a VENMO payment page. Please pay $100 deposit there and we will get you started. Thank you.

Order Form

After you click SUBMIT you will be redirected to a VENMO payment page. Please pay $100 deposit there and we will get you started. Thank you.

Plantar Fasciitis

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Austin, TX

Louisville, CO

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