PRODUCT REGISTRATION & RESOLE ORDER FORM

Purchase Information

STORE NAME : STATE
EVOLV PRODUCT MODEL
EVENT

specifically

Customer Information

Name: First Last

Mailing

Address
Phone #1 #2
Email

We respect your privacy and will never give away your information. This will be used to contact you about your order, provide customer service, notify you of specials and events.

REPAIR
DETAIL Shoes are resoled with TRAX rubber.
Brand/Model/Size of shoes:
1.
  
REPAIR THE FOLLOWING:
2.
  

DISCOUNT : reason:

3.
  

SHIPPING FEE: We recommend getting a tracking service like delivery confirmation. We are not responsible for packages until they arrive at our shop.
4.
  
TOTAL FEE : lines 1 - 2 + 3 and enter it here:
    Include a check or money order for this amount. We accept Visa and Mastercard only. See below
 

Card# Expiration Date Signature_______________________

Other instructions about your order (different shipping address, 2nd pair order instructions, or size adjustment-please be very specific and we'll try our best, but make no guarantees. We can't make shoes smaller, but we may be able to stretch them a half size - no surcharge):

When would you like to have them by (we'll try our best!). Keep in mind the shipping time both ways

 

Mail your package to:

EVOLV Climbing
12831 Western Ave #H
Garden Grove, CA 92841

Questions? (714) 891-0555