"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
your carrier of choice to:
Fortuna's Shoe and Luggage Repair
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 | X | QTY | Total |
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 | | | |
Boat Shoes:
Full Sole Replacement
(e.g. Goodyear, Vibram, Biltrite Soles) | $75.00 | | | |
Western Style Boots:
Full Sole & Heel replacement | $155.00 | | | |
Work Boots:
Full Sole & Heel replacement | $95.00 | | | |
| OTHER SERVICES |
Ladies Sole Tips:
(replaces worn toe area on pumps & heels) |
$19.50 | | | |
European Soles (Protective Soles):
(Cushions & lengthens life of sole) | $40.00 | | | |
| HEELS |
Men's Heel Replacement:
(leather, rubber, combination) |
$25.50 | | | |
| Ladies Heel Replacement: | $17.00 | | | |
| Dowel Heel Replacement: |
$15.00 | | | |
| Work Boot Heel Replacement: | $30.00 | | | |
| 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-$95 | | | |
Waterproofing:
Shoes |
$12.50 | | | |
Waterproofing:
Half-Boot | $15.50 | | | |
Waterproofing:
Full Boot | $27.50 | | | |
New Heel Pads:
Helps put life back in old favorites |
$15.00 | | | |
New Leather Insoles:
Helps Smooth Lumpy Shoes | $25.00 | | | |
New Leather Heel Lining:
Hand Stitched | $25.00 | | | |
*$5.00 TO $10.00 extra charge for certain designer shoes and red protective
soles
| Subtotal: | |
| Shipping: | |
| Total: | |
| Shipping |
| 1 pair shoes |
$10.00 | | 2
pair shoes | $15.00 |
| for boots or work shoes add $4.00/pair | |
| | |
Payment Information
Name:______________________________________________
Address:___________________________________________
City:___________________ State:_____ Zip:__________
Daytime Phone:_____________________________________
Fax Number:________________________________________
E-mail Address:____________________________________
Payment: ___Discover ___Visa ____Mastercard___Amex___
Number:___________________________ Expires:_____
Signature:___________________________ Date:_____
Security Code____________________
Shipping Information (if different from above)
Name:______________________________________________
Address:___________________________________________
City:___________________ State:_____ Zip:__________
Send it to Fortuna's
If you prefer to pay on-line, we will send you a
PayPal invoice when your order is received! All
communication is through email..please check your spam blocker if you do not
hear from us or phone to be sure your item has arrived. Items not
communicated about are considered abandoned after 60 days and may be discarded.
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