ORDER FORM
FILL OUT ONE FORM FOR EACH PAIR OF SHOES. ATTACH ONE PRINTED FORM SECURELY TO EACH PAIR OF SHOES SENT IN FOR REPAIR.
Shoes are done by appointment only, so email us for details.

 

First/Last Name
Mailing Address
City State Zip
email Address
Daytime Phone

 

Rubber Preference:
5.10 Stealth C4 thin
5.10 Stealth C4 thick
5.10 Onyx
Vibram XSV
Vibram XSGrip
MadRock

Full Sole
Half Sole

Toe Cap/Rand Repair: varies, but usually in the $9.00 to $12.00 range per pair.
Email us before shipping for more specific info.
Rand Repair if needed

Pricing:
1/2 Soles of any rubber: $32 per pair
Full soles of any rubber: $60 per pair

Shipping charges:
1 pair = $10.00, 2 pairs = $13.00, 3 pairs = $16.00
EXAMPLE: One pair of shoes needing a half sole ($32.00) but no rand repair, shipped to Bar Harbor ($10.00). Total payment due along with your shoes would be $42.00. Easy huh?

I have enclosed a check or money order for $

Order Form

Positive Resoles | Westminster, CO. 80031
info@positiveresoles.com