ORDER INSTRUCTIONS

Customer Information(”*” indicates required field)

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PAYMENT OPTIONS (”*” indicates required field)

Please select one*

SPECIAL INSTRUCTIONS

  • Ship to:

Not required if paying by Check or Money Order

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*Customer signature:
PLEASE NOTE: Your Credit Card will not be charged until after your shoes go into repair.
If you have multiple pairs, simply include them with your shipment. You only need to complete this order form once. We will log the additional pairs into our database when we receive your shipment. You will only be billed for one shipping charge. Please add a handwritten note for sole choices or any special instructions. If we have questions we will email you.

Sub Total

Shipping

Total

and then advance to the UPS label printing page

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