"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, DHL, 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 |
X | QTY | Total |
Men's Dress Shoe:
Full Sole & Heel replacement |
$60.00 | | |
|
Men's Dress Shoe:
Half Sole & Heel replacement |
$50.00 | | |
|
Ladies Dress Shoe:
Half Sole & Heel replacement |
$45.00 | | |
|
Casual Shoes:
Full Sole Replacement
(e.g. Rockport, Timberland, Sebago) |
$60.00 | | |
|
Boat Shoes:
Full Sole Replacement
(e.g. Goodyear, Vibram, Biltrite Soles) |
$45.00 | | |
|
Western Style Boots:
Full Sole & Heel replacement |
$75.00 | | |
|
Work Boots:
Full Sole & Heel replacement |
$65.00 | | |
|
| OTHER SERVICES |
Ladies Sole Tips:
(replaces worn toe area on pumps & heels) |
$15.00 | | |
|
Protective Soles:
|
$20.00 | | |
|
| HEELS |
Men's Heel Replacement:
(leather, rubber, combination) |
$20.00 | | |
|
| Ladies Heel Replacement: | $15.00 |
| | |
Dowel Heel Replacement:
(for all spikes and heels) |
$10.00 | | |
|
| Work Boot Heel Replacement: | |
| | |
| PLATES/OTHER |
Protective Toe Plate:
(lengthens life of sole) |
$3.00 | | |
|
Protective Heel Plate:
(lengthens life of heel) |
$3.00 | | |
|
V-Plate:
(not available with heel plate) |
$6.00 | | |
|
Western Boot:
Exotic leather cleaning & Re-glazing
(e.g. snake, ostrich, lizard) |
$45.00-$65.00 | |
| |
Waterproofing:
Shoes | $12.50 | |
| |
Waterproofing:
Half-Boot | $15.50 | |
| |
Waterproofing:
Full Boot | $17.50 | |
| |
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 | $8.00 | | 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: ___Money Order ___Visa ____Mastercard
Number:___________________________ Expires:_____
Signature:___________________________ Date:_____
Shipping Information (if different from above)
Name:______________________________________________
Address:___________________________________________
City:___________________ State:_____ Zip:__________
Send it to Fortuna's
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