Lilburn Shoe Reapir and Pedorthics, shoe repair by mail, mail order shoe repair, diebetic shoes, shoe lifts

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* Free shine with all Soles and Heels

*Same price for

Leather or Rubber

Ship Your Shoes For Repair To:

*Sorry but you MUST include a pre-paid return shipping label for all shipments outside the Continental United States (this includes Hawaii and Alaska)

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Questions, Comments or Special Instructions :

Please select item(s) you wish to order, enclose a pre-paid return shipping label with your order or add $25.00 shipping charge to the amount due. Then print two copies of this form, one to send to us and the other copy for your records. Mail completed order form with payment (checks payable to Lilburn Shoe) to the address above. After we recieve your shoes we will then e-mail you with a comformation and the expected turn around time. If you have any question please feel free to contact us.

Remember we do Shoes, Boots, Belts, Zippers and Much More....

4760 Lawrenceville Highway

Suite C-1, Lilburn GA 30047

Phone: 770-921-4480 / Fax: 678-205-1738

First Name: Last Name: E-Mail:
Address: Phone:
City: State: Zip: Cell:

Payment Type
Check Name on Card: Credit Card Number:
Money Order Amount to be Charged: $ Exp. Date:
Visa
MasterCard Card Holder Signature:____________________________________Date_____________________

*Replace buckles

and elastic

*Replace rivets,

snaps and eyelets

*Replace or repair zippers

*Replace Tassles

and Stripping

(D) Rings

*Shorten belts

*Repair handbags