BASS RIVER SHOE REPAIR ORDER FORM
Print this form and put it in the box with your shoes. Use bubble wrap, tissue paper or newspaper to cushion your shoes and prevent movement in the box during shipping.
CUSTOMER INFORMATION
Name: ______________________________________________________
Address: ____________________________________________________
______________________________________________________________
Daytime Phone: ______________________________________________
E-mail: ______________________________________________________
SHIPPING INFORMATION
Ship the items needing repair to:
Bass River Shoe Repair
146 Old Main Street
S. Yarmouth, MA 02664
THANK YOU FOR YOUR BUSINESS! We enjoy serving you!