Order Sheet
Print one page for each item and tick what services are requested. Place this Order Sheet in one of your shoes. Please note that prices may vary once we receive your order but we will contact you to give exact pricing including postage rates and if additional services are required. All prices are per pair.
Heels and Toes
o Heels Euro 18 - 25
o Toes Euro 15 - 20
o Heels and Toes Euro 30 - 32
Soles
o ½ Soles Rubber Euro 25 and up
o ½ Soles Rubber and Heels Euro 36 - 45
o ½ Leather Soles Euro 35
o ½ Leather Soles and Heels Euro 45 - 55
o ½ Soles Heavy (Boots, Walking Boots Etc.) Euro 25 - 35
o ½ Soles Heavy and Heels (Boots etc.) Euro 45 - 60
o Vibram full walking boot unit Euro 75 and up
o Full Soles Leather Euro 80 - 110
o Full Soles Casual (Camper, Trainers etc.) Euro 45 and up
Additional Services
o New Zips Euro 28 – 35 per zip Dying ( PRICE ON APPLICATION)
o Stretching Euro 9.50 - 12
o Stitching Price on application Cleaning (PRICE ON APPLICATION )
o Back Lining Euro 20 per pair
o Insoles Euro 10 – 20 per pair depending on material
Comments:
Billing Information Shipping Information (if Different)
Name Name
Address Address
City City
E-Mail Phone
Billing Informaion
o Visa
o Mastercard
Number CVV
Signature Expiration Date
I authorise the above named business to charge the credit card indicated in this authorization form. This payment authorization is for the described goods and services descried above. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated in this form. Payment details can also be taken over the phone if preferred