Name

Email Address

Credit Card

Exp. Date

security code

Describe Item

New Field

Name

Email Address

Repair Item Repair Item Women's Dress Shoe Men's Dress Shoe Athletic Shoe Boots Orthopedics

work request work request Leather Topy Heel Replacement Half Sole

Name

Phone

Email Address

Object to Be Repaired Object to Be RepairedWomen's Dress ShoesMen's Dress ShoesAthletic ShoesBootsOrthepedics

Select Repair Select RepairHeelsHalf SolesHeels and SolesAdd: TopyFull SolePremiumStretchCleaning/ConditioningDyingGlue Soles

Select Material Select MaterialCrepe Full Soles - $65

Select Materials Select MaterialsRubber - $25Leather - $25Crepe Full Soles - $30

Select Materials Select MaterialsRubber - $30Leather - $50Crepe Full Soles - 30

Select Materials Select MaterialsRubber - $55Leather - $75Crepe Full Soles - $55

Select Material Select Material Leather - $15

Select Repair Select RepairHeelsHalf SolesHeels and SolesAdd: TopyFull SolePremium

Select Material Select MaterialRubber - $65Leather - $85Crepe Full Soles - $75

Select Materials Select MaterialsRubber - $40Leather - $40

Select Materials Select MaterialsRubber - $30Leather - $50

Select Materials Select MaterialsLeather - $15

Select Materials Select MaterialsRubber - $70Leather - $85

Select Repair Select RepairHeelsHalf SolesHeels and SolesFull SolePremium

Select Materials Select MaterialsVibram® - $50Kitchen Non-Slide - $50

Select Materials Select MaterialsVibram® - $30Kitchen Non-Slide - $30

Select Marterials Select MarterialsVibram® - $98Kitchen Non-Slip - $98

Select Marterials Select MarterialsVibram® - $85Kitchen Non-Slip - $85

Select Marterials Select MarterialsVibram® - $85Kitchen Non-Slip - $85

Select Materials Select MaterialsLeather - $240

Style StyleWesternWorkboot

Boot Repair Boot RepairHeelsHalf SoleHeels and SoleFull SolePremium

Select Materials Select MaterialsRubber - $30Leather - $30

Select Materials Select MaterialsRubber - $40Leather - $40

Select Materials Select MaterialsRubber - $80Leather - $240

Select Materials Select MaterialsLeather - $120

Select Materials Select MaterialsLeather - $160

Boot Repair Boot RepairFull SolePremium

ortho Repairs ortho RepairsHeels - $50Half Soles - $75Heels and Soles - $100Add: Topy - $125Full Sole - $50/half inch

Additional Requests Additional RequestsStretch - $20Cleaning/Conditioning - $50Dying - $60Glue Soles - $30

Color

Size

Brand / Designer

Notes: