HAIX order form - resoling online shop: Nushoe.com

"Once again you have done a magnificent job. The packing was very impressive, my boots are perfect. Best Wishes,"

Steve
Miami, FL

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

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

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