"SEND IT TO FORTUNA'S" SHOE REPAIR FORM


Please print this form and fill out the following information.
You may send this form and the item to repaired to us via USPS, UPS OR FedEx to:

Fortuna's
7835 Woodmont Ave.
Bethesda, MD 20814

If you should have any questions, please call us at (301) 654-2533 or e-mail us.

Description*Price XQTYTotal
Men's Dress Shoe:
Full Sole & Heel replacement
$85.00    
Men's Dress Shoe:
Half Sole & Heel replacement
$67.50    
Ladies Dress Shoe:
Half Sole & Heel replacement
$57.50    
Casual Shoes:
Full Sole Replacement
(e.g. Rockport, Timberland, Sebago)
$85.00    
Western Style Boots:
Full Sole & Heel replacement
$155.00    
Work Boots:
Full Sole & Heel replacement
$95.00 and up    
OTHER SERVICES
Ladies Sole Tips:
(replaces worn toe area on pumps & heels)
$19.50    
Protective Soles:
 
$40.00    
HEELS
Men's Heel Replacement:
(leather, rubber, combination)
$26.50    
Ladies Heel Replacement:$17.00    
Dowel Heel Replacement:
(for all spike heels)
$15.00    
Work Boot Heel Replacement:     
PLATES/OTHER
Protective Toe Plate:
(lengthens life of sole)
$4.00    
Protective Heel Plate:
(lengthens life of heel)
$4.00    
V-Plate:
(available only with leather heel installation)
$10.00    
Western Boot:
Exotic leather cleaning & Re-glazing
(e.g. snake, ostrich, lizard)
$65.00-$95.00

 

    
Waterproofing:
Shoes
$15.50    
Waterproofing:
Half-Boot
$17.50    
Waterproofing:
Full Boot
$27.50    
New Heel Pads:
 
$15.00    
New Leather Insoles:
 
$25.00    
New Leather Heel Lining:
 
$25.00    

                                                                                          REPAIR TOTAL________

*Prices are "minimum" price.  Some designer brands or  special installations may be higher priced.  We will email you exact price after evaluating your item(s).
Shipping
one pair of shoes $10.00
two pairs of shoes $15.00
For boot or work shoes add $4/pair $
Shipping Total $

Payment Information is important don't forget add it!!

Name:______________________________________________

Address:___________________________________________

City:___________________ State:_____ Zip:__________

Daytime Phone:_____________________________________

Fax Number:________________________________________

E-mail Address*:____________________________________

Payment: ___American Express ___Visa ____Mastercard

Number:___________________________ Expires:_____

Security Code__________________

(found on back of card for Visa, MC and Discover; front for Amex)

Signature:___________________________ Date:_____

Shipping Information (if different from above)

Name:______________________________________________

Address:___________________________________________

City:___________________ State:_____ Zip:__________


Send it to Fortuna's

*All communication is through email..we do not phone you.. so please be sure your email address is clearly printed on the form.  If you do not hear from us within 7 days of shipping to us..check your spam blocker and/or phone us to be sure your item has arrived.  We try to communicate with you within 2 business days of receiving your item!  Items left with us for 60 days without a response from you may be considered abandoned and  discarded.



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