Payment Method Home 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 the Bottom of this 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
Spenco Insoles (optional)... $10.00
PLEASE SELECT Allen Edmonds Resoling...$76.00/pr. Alden Resoling...$76.00/pr. Birkenstock Resoling....$42.00/pr. Birkenstock resole, recork...$62.00/pr. Birkenstock recraft....$66.00/pr. Boots (general)......$66.00/pr. Cole Haan Resole.(Rubber Soles).$66.00/pr. Cole Haan Leather Full Soles..$76.00/pr. Ecco Resoling.......$59.00/pr. Gucci Resling...$82.00/pr. Havana Joe Resole....$64.00/pr.. Hiking Shoes Resoled....$64.00/pr. Johnston & Murphy Full Soles (Rubber)...$66.00/pr. Johnston and Murphy (full leather soles)..$78.00/pr. MBT Resoling....$58.00/pr. Mephisto Resoling...$64.00/pr. Merrell Resoling ...$66.00/pr. men shoes, Full Soles and Heels....$76.00/pr. men shoes 1/2 soles....$48/pr. men shoes 1/2 Soles and Heels...$58/pr. Prada Resoling...$82.00/pr Rockport Resole...$49.00/pr. Vasque Resoling...$68.00/pr. women shoes- 1/2 Soles....$36/pr. (women shoes-) 1/2 Soles and Heels....$48/pr.
Shipping and Handling, Please add $16.00
For Boots........................... $21.00
Additional pair....... Please add $7.00 Total $
Further comments and return address if different from cardholder Information.
