Specialty Footwear Retail Layaway Form
Customer Name
Phone
Email
Address
Date
Layaway Item(s)
Item #
Brand
Style
Size
Color
Price
Quantity
Total
Subtotal
Tax
Total Amount
Deposit Amount
Balance Due
Layaway Expiration
Payment Schedule
Payment Date
Amount
Initials
Staff Notes
Customer Signature
Date
Staff Signature
Date