Birkenstock order form - resoling online shop: Nushoe.com

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"I received my Birkenstock Milano's back following reconditioning - I am amazed! Excellent job - I had no idea these sandals could be so amazingly reconditioned. I plan to send a pair of my Johnston & Murphy dress oxfords soon."

Jim
Denver, CO

Please fill out this form to receive a BIRKENSTOCK Brochure and Order Form, plus a BIRKENSTOCK Postage-Paid Mailing Bag.

You will receive the information within 3-5 days, including instructions on how to send in your shoes.

First Name	*
Last Name	*
Address	*
City	*
State	*
Zip	*
Office Phone (include area code)	*
Home Phone (include area code)	*
Email	*
Number of pairs (One KIT per pair)	*
Comments or Questions
Include information on other shoe and boot renewal by NuShoe (reply "Yes" or "No")	*
	*Required field