RECRAFTING ORDER FORM BASIC RESOLE PREMIER SUPREME $100 $140 $250 Starting at $280 REPLACE BROKEN HARDWARE REPAIR DAMAGED STITCHING RECONDITION, CLEAN & POLISH LEATHER NEW LACES NEW INSOLES OR AIRTHOTICS REPLACE MIDSOLE REPLACE OUTSOLE REPLACE HEEL COUNTER REPLACE SHANK REPLACE (GORE-TEX, DRI-LEX, ETC) LINER PLEASE COMPLETE THIS SECTION: Complete form carefully so we know exactly what package you want, what your boots need, and where you would like them shipped when complete. Please remove excess mud and dirt – a $10 surcharge will be added to clean dirty boots. If your boots require more work than what you have requested, or the current outsole that your boots have is unavailable, we will contact you. BASIC $100 *Does not include stitching around sole. RESOLE $140 PREMIER $250 SUPREME $280 NON-INSULATED $290 200G, RED - 400G, GREEN THINSULATE $320 600G+ - GOLD, GREY THINSULATE *Liner insulation values cannot be modified. SHIP BOOTS & FORM TO DANNER RECRAFTING DEPARTMENT 12021 NE AIRPORT WAY | SUITE B PORTLAND, OR 97220 WILL CALL – DO NOT SHIP SHIP TO CUSTOMER ALL INTERNATIONAL RECRAFTING ORDERS OUTSIDE OF NORTH AMERICA WILL INCLUDE A $150 SURCHARGE FOR RETURN SHIPPING SHIPPING PLEASE REMOVE LACES AND INSOLES YOU WANT TO KEEP STYLE # SIZE # NAME PHONE STREET ADDRESS CITY, STATE, ZIP COUNTRY PLEASE LIST ANY COMMENTS OR CONCERNS BELOW: PAYMENT EMAIL - USED FOR OUR PRIMARY COMMUNICATION NAME ON CARD CREDIT CARD # CVV # (3 OR 4 DIGIT # ON BACK OF CARD) EXP. DATE PHONE COUNTRY STREET ADDRESS CITY, STATE, ZIP CARD HOLDER SIGNATURE