Mail-In Order Form

Welcome to Cobblestone Shoe Repair's Mail-In Center. If you have any special requests or questions about our services, please call us at 636-532-1046, Tuesday through Friday, 8 a.m. - 6 p.m. and Saturday, 9 a.m. - 4 p.m.

Customer Information

Name

City

Address

State

Address 2

Zip

Daytime Phone

E-mail

Order Information

Item 1   + $10 shipping

Item 2   + $3 shipping

Item 3   + $3 shipping

Item 4   + $3 shipping

Prices subject to change depending on condition of shoes. We will confirm the price with you by e-mail prior to charging your card.

  $

Billing Information

VISA     MasterCard     Discover    PayPal

Credit Card #      Exp. Date        CSC No. What's this?

Billing Address   Zip Code

Cardholder name      Signature ___________________________

        

Shipping Information

 

Ship your shoes to:

 

Cobblestone Shoe Repair

1718 Clarkson Rd.

Chesterfield, MO 63017

 

Print this form and put it in the box with your shoes. Use bubble wrap, tissue paper or newspaper to cushion your shoes and prevent movement in the box during shipping. Your shoes will be returned within  7 to 10 days of receiving them.