Shoe Repair Job Form

Select your repairs, print this form and place it inside a shoe that needs to be fixed.

Just let Dino's Shoe Repair decide what repairs are needed (no need to fill out rest of form).

Repair:

Shine:

Stretching:

Additional Items Available:

Shoe Laces $3

Leather Insoles $25

Waterproofing $25

Cleaning $35

Your Comments/Questions: