Shoe Included?

Yes No

Cleat Included?	Yes No
CLEAT TYPE "METAL" or MOLDED"

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	Payment Method Payment option  --> Please chooseCredit Card CheckCash   - If Credit Card; CC Number:     Expiration date.     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