Instructions:

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Mail completed form and shoe(s) to:
Steppin' Birkenstock
12 Chambers Street
Princeton, NJ 08542

Feel free to email us or call toll free 866-722-4757 with any questions.

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ITEM NAME OR STYLE#
SIZE AND WIDTH
SELECT ACTION COST X QTY. = COST
RESOLE $55.00/pair X = $
RESOLE/RECORK $65.00/pair X = $
RECRAFT/CLASSIC $85.00/pair X = $
RECRAFT/SOFT FOOTBED/HIGH ARCH
$95.00/pair X = $
HEELTAPS $45.00/pair X = $
TOE TAPS $45.00/pair X = $
RELINE SUEDE LINERS $45.00/pair X = $
REPLACE BUCKLES $15.00/buckle X = $
SHOE RESOLE $100.00/pair X = $
SUEDE CORK FOOTBEDS $46.00/pair X = $
COTTON CORK FOOTBED $22.00/pair X = $
SUBTOTAL $
SHIPPING: $7.00(FIRST PAIR)
$2.00 (EACH ADDITIONAL PAIR)		 $
TOTAL $

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Billing Information (all fields required)
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CID/CVV2 #

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