Payment Method

[FrontPage Save Results Component]
__Please fill out this page by printing it first, or if you choose, you may fill it out first and than print it.

__Cut out the Merchandise return label (At the bottom of this page) and fill in your return address.

__Tape the Merchandise Return Label to the front of the package.

__Enclose your shoes, this form and your payment in the package.

__Leave your parcel with other outgoing mail at home or at your office or take it to your post office.

By Check (to Newsole) Money Order Visa Master Card

CARDHOLDER INFORMATION

Full Name

Street

City State Zip Code

Day Phone Home Phone

Card Number Expiration Date

Please choose---

__$42.00 BIRKENSTOCK RESOLE---Replacing the sole, recementing uppers to cork, sealing the cork and cleaning.

__$62.00 BIRKENSTOCK RESOLE AND RECORK--- Same work as resoling plus cork work (This work can be done if the damage to the cork is not extensive).

__$66.00 BIRKENSTOCK RECRAFTING---Our most popular request. This will turn your old favorites into your new favorites. we will replace the footbeds, liners and soles and recondition the uppers to like new condition.

__Soft footbed recrafting is $20.00 extra.

__$68.00 FOOTPRINTS RESOLE--- Hand stitching new polysoles to the uppers and refurbishing.

__ $105.00 FOOTPRINTS RESOLE AND NEW FOOTBED INSOLES.

For other brands besides Birks, please use the menu below.

Shipping and Handling, Please add $16.00

For Boots....... $21.00 Additional pair....... Please add $7.00 /pr. Total $

Further comments and return address if different from cardholder Information.

Merch. Return Label

Simply cut out the label below by printing it first.

Fill in your return address and tape it to the front of the package.

Please note that all postage fees will be billed to us once you affix

this label to your package. Your shipping and handling fee includes

freight to and from our center.