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Order Form: Complete, Print and Enclose

For enhanced security, we do NOT capture or exchange any information online. This is a Print Only Form
Product Details #   Pair   Total

small
Full Soles
& Heels

Sole:   

Heel:


X 98.00 =

half sole small
Half Soles
& Heels

Sole:  

Heel:


X 94.00 =

womens repair
High Heels
& Pumps

Sole:

X 78.00 =

sandalFlats
Flats Soles
& Heels

Sole:   
X 78.00 =
Shoe & Leather Repair: tears, recover, reinforce.
X 61.00 =
Zipper Repair - All lengths X 52.00 =
High Heel Replace/Recover X 52.00 =
Ugg Sole Replace X 61.00 =
Ugg Water Treatment X 49.00 =
    Labor
Service Processing
& Handling ea. @
9.00
Service
TOTAL

Billing Address
Name
Address
City
State
Zip
Phone
E Mail
Shipping (if different)
Name
Address
City
State
Zip
Phone
E Mail
  Shipping Instructions