We respect your privacy and will never give away your information. The information you provide on this form will be used to contact you about your order, if necessary, and to provide customer service.

Instructions: (1) Fill out this order form. (2) Print order form. (3) Pack this order form and shoes. (4) Mail package to the address below via any courier of your choosing. We recommend using a service that provides delivery confirmation or tracking. (5) Leave the rest up to us! Expect your shoes back within 2-4 weeks.

YOSEMITE BUM RESOLES
6769 8th Street
Buena Park, CA 90620

Delivery Address
Are you a repeat customer? Yes No
*Indicates required information.
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Phone Number:*
E-Mail:*
  Please check this box if you would like to be added to our electronic mailing list.
  How'd you hear about us?
  Specifically:

Pair #1 Information
Brand of shoes:
Model of shoes:
Size of shoes (U.S.):
Downturned toe: Yes No
Repair the following:

 

Pair #2 Information
Brand of shoes:
Model of shoes:
Size of shoes (U.S.):
Downturned toe: Yes No
Repair the following:

 

Pair #3 Information
Brand of shoes:
Model of shoes:
Size of shoes (U.S.):
Downturned toe: Yes No
Repair the following:
 
If you are sending in more than 3 pairs, please print additional copies of this order form.
   
WE RESOLE WITH HIGH TRACTION TRAX RUBBER ONLY. If you send your own rubber, take $7 off the resole.
     
1.
   Please check one. If not checked, we will assume you trust us...
    I trust you guys. If the rands need to be repaired, please do so.
    No additional work. If rands need repair, return my shoes back to me at my expense using my credit card.
    What the heck is a rand?
2.
  
Total for Pair #1:
3.
  
Total for Pair #2:
4.
  
Total for Pair #3:
5.
   Shipping and Handling Fee (U.S.):
6.
  

Discount (If applicable):

    Reason:
    Coupon Code:
7.
  
Total (Add lines 2 to 5 minus line 6):
   

We accept VISA, MASTERCARD, and AMERICAN EXPRESS. Checks are accepted but there will be a delay if we need to do additional repairs.
    Card Number:
    Expiration Date:
    Security Code:
    Signature: _____________________________________
     
    Please call me. I will provide my credit card info over the phone.
    Note: This will delay your order.
   


   

Other instructions about your order:
     
    WARRANTY ON RESOLES

If you experience any problems inconsistent with regular wear, please do not hesitate to contact us. We will inspect the shoes and redo the work if it is covered under warranty. You should take good care of your shoes and have reasonable expectations. We try our best to maintain the same size and fit of your shoes. However, due to the nature of the resoling process, the fit or size can change slightly (at the most 1/2 size).