Climbing Shoe Repair Form
 

 

Contact Information:  * required information.

 

TYPE in the following information BEFORE you print this page.

 
Name *
Street Address *
Address (cont.)
City *
State/Province *
Zip/Postal Code *
Country *
Work Phone
Home Phone
FAX
E-mail *
Order Information:

WRITE in the Quantity of each repair in the box at left of your repair item, as well as any notes you wish AFTER you print this page.
 

Climbing Shoes  
  C-4 1/2 Soles 5.5 mm $34.00
  Onyx 1/2 Soles 4.2 mm $36.50
  Dot 1/2 Soles 4.7 mm $36.50
Notes to us:
  C-4 Full Soles 5.5 mm $48.00
  Onyx Full Soles 4.2 mm $54.00
  Dot Full Soles 4.7 mm $48.00
Notes to us:

 


 

Approach Shoes
  C-4 1/2 Soles 5.5 mm $34.00
  Dot Full Soles 4.7 mm $48.00
Notes to us:

 

  Toe rand

Each toe

add

$8.00

Notes to us:

 

Select Rubber:  Circle your choice
Stealth C-4 5.5 mm
Onyx 4.2 mm
Dot 4.7 mm


Notes to us:

 

 

 

Enclosed is my check/money order for repairs. 

Total amount:  $(US)
 

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