mountain soles & outdoor threads repair form
TRANSCRIPT
Mountain Soles & Outdoor Threads Repair FormPlease print this form & include it with your shipment
Shipping Address:
Mountain Soles10824 SE Oak St , Suite 184
Milwaukie, OR 97222 www.mountainsoles.com
Phone
Internal Use Only
Date Received:
Date Shipped Back:
Billing Address (where you get your credit card bill):
Cardholder Name
Repairs Needed/ Comments. Item/ Model/ Color:
Choosing this option may extend the turn around time.
Please just fix it! Proceed with repairs up to Email first with estimateWe won't contact you. This is the
fastest way to avoid delays.
Choose ONE option:
Want to insure your package for the return shipping?
No Yes, insure my package for $Insurance will increase return shipping costs
Shoe size of primary user:Female/Smaller Foot Male/Larger FootPrimary user of snowshoes:
For pricing information, please refer to our web site. If you request an estimate, please note that we do not contact customers if repair will cost less than $30 per item+ return shipping.
Return shipping will be calculated upon completion and added to your total repair cost.
Please review this page, print it, and sign it at the bottom. Include this form with your shipment.
You can cut out the address to the left,
tape it to your box, and then ship the box to us . Thank you!
Total Cost:
Return Shipping:
Repair Costs:
Repair Estimate = + Return Shipping
Notes:
Ship to:
Mountain Soles 10824 SE Oak St, Suite #184
Milwaukie, OR 97222
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
City
Address
Customer Name
State Zip CodeZip CodeState
City
Billing Address
Same as Billing Address
DiscoverMastercard Visa
Expiration Date (mm/year): /
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - The credit card portion of this form will be destroyed after we have charged your credit card.
Verfication #:
We DO NOT accept cash or checks.
The last 3 digits on the signature strip of your card.
All repairs are returned via US Mail
Card Number -- -
Cardholder Signature: ______________________________________ Date: ____________
- -
Package Dims: