Order Form

Please select your lift requirement from the list below.

Please note you are purchasing a service. (Pediatric shoe lifts are for shoes sizes toddler to Youth 3.)

Adult Shoe Lift

Measurement	Price
Shoe Lift – 1/8″	$65.00	Shoe Lift – 1/8" quantity
Shoe Lift – 1/4″	$65.00	Shoe Lift – 1/4" quantity
Shoe Lift – 3/8″	$70.00	Shoe Lift – 3/8" quantity
Shoe Lift – 1/2″	$70.00	Shoe Lift – 1/2" quantity
Shoe Lift – 5/8″	$75.00	Shoe Lift – 5/8" quantity
Shoe Lift – 3/4″	$75.00	Shoe Lift – 3/4" quantity
Shoe Lift – 7/8″	$80.00	Shoe Lift – 7/8" quantity
Shoe Lift – 1″	$80.00	Shoe Lift – 1" quantity
Shoe Lift – 1 1/8″	$85.00	Shoe Lift – 1 1/8" quantity
Shoe Lift – 1 1/4″	$85.00	Shoe Lift – 1 1/4" quantity
Shoe Lift – 1 3/8″	$95.00	Shoe Lift – 1 3/8" quantity
Shoe Lift – 1 1/2″	$95.00	Shoe Lift – 1 1/2" quantity
Shoe Lift – 1 5/8″	$100.00	Shoe Lift – 1 5/8" quantity
Shoe Lift – 1 3/4″	$105.00	Shoe Lift – 1 3/4" quantity
Shoe Lift – 1 7/8″	$125.00	Shoe Lift – 1 7/8" quantity
Shoe Lift – 2″	$125.00	Shoe Lift – 2" quantity
Shoe Lift – 2 1/8″	$135.00	Shoe Lift – 2 1/8" quantity
Shoe Lift – 2 1/4″	$135.00	Shoe Lift – 2 1/4" quantity
Shoe Lift – 2 3/8″	$145.00	Shoe Lift – 2 3/8" quantity
Shoe Lift – 2 1/2″	$145.00	Shoe Lift – 2 1/2" quantity
Shoe Lift – 2 5/8″	$155.00	Shoe Lift – 2 5/8" quantity
Shoe Lift – 2 3/4″	$155.00	Shoe Lift – 2 3/4" quantity
Shoe Lift – 2 7/8″	$175.00	Shoe Lift – 2 7/8" quantity
Shoe Lift – 3″	$175.00	Shoe Lift – 3" quantity
Shoe Lift – 3 1/8″	$185.00	Shoe Lift – 3 1/8" quantity
Shoe Lift – 3 1/4″	$185.00	Shoe Lift – 3 1/4" quantity
Shoe Lift – 3 3/8″	$195.00	Shoe Lift – 3 3/8" quantity
Shoe Lift – 3 1/2″	$195.00	Shoe Lift – 3 1/2" quantity
Shoe Lift – 3 5/8″	$205.00	Shoe Lift – 3 5/8" quantity
Shoe Lift – 3 3/4″	$205.00	Shoe Lift – 3 3/4" quantity
Shoe Lift – 3 7/8″	$215.00	Shoe Lift – 3 7/8" quantity
Shoe Lift – 4″	$215.00	Shoe Lift – 4" quantity

Pediatric Shoe Lift

Measurement	Price
Pediatric Shoe Lift – 1/4″	$40.00	Pediatric Shoe Lift – 1/4" quantity
Pediatric Shoe Lift – 1/2″	$40.00	Pediatric Shoe Lift – 1/2" quantity
Pediatric Shoe Lift – 3/4″	$45.00	Pediatric Shoe Lift – 3/4" quantity
Pediatric Shoe Lift – 1″	$50.00	Pediatric Shoe Lift – 1" quantity
Pediatric Shoe Lift – 1 3/8″	$60.00	Pediatric Shoe Lift – 1 3/8" quantity
Pediatric Shoe Lift – 1 1/2″	$65.00	Pediatric Shoe Lift – 1 1/2" quantity
Pediatric Shoe Lift – 2″	$85.00	Pediatric Shoe Lift – 2" quantity

Lift Removal

Measurement	Price
Lift Removal	$35.00	Lift Removal quantity

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Billing details

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Additional information

Shoe Lift Preferred Material Color

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Special Lift Requirements

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Product Quantity	Total
Cart Subtotal	$0.00
Tax	$0.00
Order Total	$0.00

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SHOE LIFT EXPRESS ORDER FORM

Order Form

Please select your lift requirement from the list below.

Adult Shoe Lift

Pediatric Shoe Lift

Lift Removal

Billing details

Additional information

New customer or have a question about a brand of shoes? Upload a picture for our staff to review

Your order

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