Payment Method
Home Page Mailing Instructions
-Please fill out this page by printing it first, or if you choose, you may fill it out first and than print it. (Merchandise Return Label at Bottom of Page)
By Check (to Newsole) Money Order Visa Master Card
CARDHOLDER INFORMATION
Full Name
E-Mail
Street
City State Zip Code
Day Phone Home Phone
Card Number Expiration Date
Deluxe Insoles(optional)... $18.00
PLEASE SELECT Alden Shoe Resoling........$72.00/pr.. Allen Edmonds Resoling.....$72.00/pr. Birkenstock Resoling....$39.00/pr. Birkenstock resole, recork...$52.00/pr. Birkenstock recraft....$62.00/pr. Boots (general)......$62.00/pr. Cole Haan Resole.(Rubber Soles).$62.00/pr. Cole Haan Leather Full Soles..$72.00/pr. Ecco Resoling.......$58.00/pr. Havana Joe Resole....$62.00/pr.. Johnston & Murphy Full Soles (Rubber)...$62.00/pr. Johnston and Murphy (full leather soles)..$72.00/pr. Mephisto Resoling...$62.00/pr. Merrell Resoling ...$62.00/pr. Prada Resoling...$62.00/pr. Rockport Resole...$49.00/pr. Vasque Resoling...$62.00/pr. men shoes, Full Soles and Heels....$72.00/pr. men shoes 1/2 soles....$38/pr. men shoes 1/2 Soles and Heels...$48/pr. women shoes- 1/2 Soles....$30/pr. (women shoes-) 1/2 Soles and Heels....$38/pr. Hiking Shoes Resoled....$62.00/pr. (Birkenstock) Resole and Recork....$48/pr. ( Birkenstock) Resole......$38/pr. (Birkenstock) Recrafting....$62/pr.
Shipping and Handling, Please add $12.00
For Boots........................... $16.00
Additional pair....... Please add $6.00 Total $
Further comments and return address if different from cardholder Information.
