Order Form
  Men's    Women's
Cowboy Boots      
Full Soles with Heels 84.95    79.95 
Half Soles with Heels
64.95    59.95 
Half Soles Only
  52.95 
  50.95 
Heels 28.95  24.95 
Shine and Condition 14.95    12.95 
Clean Suede or Nubuck 32.95    24.95 
Dress Shoes      
Leather Full Soles with Rubber Heels                             62.95    54.95 
Leather Full Soles with Combo Heels 65.95    57.95 
Leather Half Soles with Rubber Heels 48.95    40.95 
Leather Half Soles with Combo Heels 51.95    43.95 
Leather Half Soles Only 40.95    38.95 
Protective Soles with Shine 28.95    24.95 
Toe Pieces     15.95 
Rubber Heels 22.95    12.95+ 
Combo Heels 25.95    21.95 
Shine and Condition Shoes 10.95    8.95 
Clean Suede or Nubuck  22.95    18.95 
Work Boots & Shoes      
Vibram Full Soles with Heels on Boots 84.95    84.95 
Vibram Full Soles with Heels on Shoes 74.95    74.95 
Vibram Heels 28.95    28.95 
Rubber Heels 22.95    12.95 
Shine and Condition 10.95    8.95 
Miscellaneous      
Stretching  10.95   8.95 
Zippers in Boots 34.95 ea  
34.95 ea 
Sewing Shoes or Boots  14.95+   14.95+ 
Sewing Purses  16.95+   16.95+ 
Shorten Belt  14.95   14.95 
Other  8.95+   8.95+ 
Ship To:
Name                                           
Street Address  
City  
State  
Zip Code  
Phone #1  
Phone #2  
Payment Method:  
Visa  
MasterCard  
Name On Card  
Signature  
Checking Acct. #  
Check Routing #  
Money Order  
  Special Instructions
Call To Discuss 1st  
Other
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Send To:
Shoe Repair Express
3231 Goodman Rd. STE 2
Southaven, MS 38672
Questions?
Call Kim at 662-349-9898
Circle your selections below:
For money orders, calculate total:  ------------ --------------
Subtotal                                                                            
7% Tax     
Return Shipping    
Total