CHECK ONE PACKAGE (PRICES DO NOT INCLUDE SALES TAX)

S U P R E M E PAC K AG E
replace liner
replace midsole
replace outsole
replace shank
replace heel counter
replace any broken hardware
repair any damaged stitching
recondition, clean & polish leather
new set of laces
new set of insoles or inserts
return shipping via ground

$200
non-insulated
grey/taupe/drilex

RECRAFTING ORDER FORM

DAN N E R FACTORY STOR E

PLEASE REMOVE EXCESS MUD & DIRT WE ADD

AN ADDITIONAL $10 TO CLEAN DIRTY BOOTS

PLEASE REMOVE LACES AND

INSOLES YOU WANT TO KEEP

$210
200g insulation
red

$225

RETURN COMPLETED FORM & YOUR DANNER BOOTS TO:

exceeding 200g
gold/green/grey

DANNER RECRAFTING DEPARTMENT

12021 NE AIRPORT WAY / PORTLAND, OR 97220

LINERS: INSULATION VALUES CANNOT BE MODIFIED

NOT AVAILABLE FOR POWERLINE BOOTS style #18200

WILL CALL DO NOT SHIP

SHIP TO CUSTOMER

P R E M I E R PAC K AG E

$150

STYLE #

SIZE #

SHIPPING

replace midsole
replace outsole
replace shank
replace heel counter
replace any broken hardware
repair any damaged stitching
recondition, clean & polish leather
new set of laces
new set of insoles or inserts
return shipping via ground

NAME

PHONE

LI N E R PAC K AG E
replace liner
replace any broken hardware
repair any damaged stitching
recondition, clean & polish leather
new set of laces
new set of insoles or inserts
return shipping via ground

$135

STREET ADDRESS

C I T Y, S TAT E , Z I P

COUNTRY

LINERS: INSULATION VALUES CANNOT BE MODIFIED

EMAIL

$115
ALL INTERNATIONAL RECRAFTING ORDERS OUTSIDE OF NORTH AMERICA
WILL INCLUDE A $150 SURCHARGE FOR RETURN SHIPPING

PAY M E N T

R E S O L E PAC K AG E
replace midsole as needed
replace outsole
replace any broken hardware
repair any damaged stitching
recondition, clean & polish leather
new set of laces
new set of insoles or inserts
return shipping via ground
POWERLINE BOOTS style #18200 / $200

BA S I C PAC K AG E
replace any broken hardware
repair any damaged stitching
recondition, clean & polish leather
new set of laces
new set of insoles or inserts
return shipping via ground

NAME ON CARD

CREDIT CARD #

$ 75
C V V # ( 3 O R 4 DIG IT # O N BACK O F C AR D)

E X P. D AT E

PHONE

COUNTRY

WE DO NOT PROVIDE, REPAIR OR REPLACE ZIPPERS

BILLING ADDRESS

BOOT STRETCH
stretch boots up to 1 width size
return shipping via ground

$15
C I T Y, S TAT E , Z I P

WE ARE UNABLE TO STRETCH BOOTS WITH SAFETY TOES

C A R D H O L D E R S I G N AT U R E

IF WE EVALUATE YOUR BOOT REPAIR REQUIRES WORK OTHER

THAN WHAT WAS REQUESTED, WE WILL CONTACT YOU

THANK YOU FOR YOUR COMMITMENT TO DANNER