Pleaser Heels Order Form - Breathe Dance Co.
Please browse the latest Pleaser online catalog at and fill in the form below with your heels orders. We will be in touch with availability and pricing.

Models listed on the Pleaser USA website as "Coming Soon" or "Pre-Order" will not be immediately available.

PLEASE STATE THE SPECIFIC ITEM # (SKU) in your order (not just the model name) - for example: ADO1021/BPU/M (instead of just Adore-1021)

Please note that confirmed orders are non-refundable.
Sign in to Google to save your progress. Learn more
First name *
Last name *
Email address *
Phone number *
Item # SKU (eg. FLAM1020FS/BYFS/M) *
Size *
Item # SKU (eg. FLAM1020FS/BYFS/M)
Clear selection
Additional Orders (list Item # SKU and size)
Clear form
Never submit passwords through Google Forms.
This form was created inside of Breathe Dance Co.. Report Abuse