MyShoeman's Shipping Page
MAIL TO:
High Street Shoe Repair
233 High St. NE
Salem, OR 97301
SORRY, WE DO NOT SHIP INTERNATIONALLY
PRINT AND INCLUDE THIS FORM WITH YOUR SHIPMENT
Customer Information
NAME
SHIPPING ADDRESS
CITY
STATE
ZIP CODE
PHONE
EMAIL
BILLING ADDRESS
SAME
DIFFERENT
IF DIFFERENT
Repair Order
BRAND
COLOR
REPAIR COST
REPAIR
DR. MARTEN SOLES Circle One (4014 / 1705)
HAFLINGER / STEGMANN SOLES Circle One (1030 / 1328)
SAS SOLES Circle One (1030 / 1328)
LIFT – SIZE OF LIFT :
COWBOY BOOT ZIPPERS
OTHER :
Payment
Payment
PAYPAL – PLEASE SEND ME A PAYPAL INVOICE
CALL ME FOR MY CREDIT CARD INFORMATION
CARD TYPE
VISA
MC
CARD #
EXP DATE MM/YY
PRINT THIS
Shortcut: Ctrl+P (Windows) / ⌘P (Mac)