Shoe Customization Order Form

Name: ___________________________________________________________

Address:_____________________________________________________________________

Email:______________________________________________

Manufacturer of Shoe:_________________________ Shoe Style:___________________

Instructions:Shoes must be shipped to The Bowlers Edge Pro Shop. You must pay shipping costs. The BowlersEdge will not pay for shipping of the shoes to us and we will charge you a shipping fee back to you. You will be billed using PayPal after we process your order. Order must be paid in full beforewe ship the shoes back to you. Turn around time for customization is 2 – 4 weeks. This form must accompany your shoes to be customized.

Shipping Address: The Bowlers Edge Pro Shop, 2441 E. Little Creek Rd., Norfolk, VA 23518

Shoe Customization PricingCleaning, Prep work, Taping, etc.: $50.00 per pair (Mandatory and required)Basic Colors: $10.00 per color usedNeon and Premium Colors (Metallic): $15.00 per color usedGlitterites: $15.00 per color used

Specialty Designs (Per pair of shoes)Addicted 2 Bowling: $80.00 (Red and Black Design)Color Shifting/Changing: $100.00Autism Awareness: $200.00 ($100.00 donated to The Plan Bee Academy)Custom Artwork (Logos, Designs, Etc.): $60.00

Your Customization RequestA.) Do you want a Specialty Design? (Please Circle) YES NO (if no, fill out section B)

Addicted 2 Bowling

Color Shifting/Changing: Enter Color Combo __________________________

Autism Awareness: 4 Colors of Puzzle Pieces (Basic Colors Only)Color 1:_______ Color 2:_______ Color 3:________ Color 4:____________

B.) Number of Colors to be used: _______

Main Color: ________ Color #2: ________ Color #3: ________ Color #4:_________

If requesting Metallic colors, put ME in front of color name. Ex. Me Blue (Metallic Blue).If requesting Neon Colors, use the Neon color name. Ex. Amazon GreenColor list is on Page 3 of this form.

Please write on shoe diagram how you would like the colors. Color Shoes in if you would like. Don'tworry if your shoe style is different from the mock up pictured.

Left Side Right Side

Rear/Heel Top/Front

We will contact you, by email, before we start work on customizing your shoes to verify color choices and placement of the colors. We will not start work until you give us the ok to start.

By submitting this form you agree to abide by our terms and conditions for customizing yourshoes. Please be aware that if you drag your toe while bowling you might experience the wearingoff of the color on that area of the shoe. While we apply extra coats of color sealer to those areas

of the shoe it is still a possibility it might happen. The Bowlers Edge Pro Shop is not responsible ifthis happens.

COLOR LISTWe use Angelus Brand Leather Paint for all Customizations.

Photos of the colors available can be found at the following locations.Glitterites: http://angelusshoepolish.com/collections/glitterlites

Basic and Metallic Colors: http://angelusshoepolish.com/collections/paintCollector Edition (Air Jordan Colors): http://angelusshoepolish.com/collections/collector-edition

Neon Colors:http://angelusshoepolish.com/collections/angelus-neon-leather-paint

Basic and Metallic Colors:

Neon Colors:Rio Red, Tahitian Pink, Jamaican Joy, Parisian Pink, Paradise Purple, Amazon Green, Popsicle Green, Tropic Sun Yellow, Sunset Yellow, Flaming Orange, Lava Orange, Bahama Blue

Glitterites:Baby Blue, Candy Pink, Desert Gold, Emerald, Ice Ice Blue, Kelly Green, Gunmetal, Lavendar Lace, Limelite, Orange/Orange, Penny Copper, Princess Purple, Razzberry, Ruby Red, Silver Spark, Sky Blue, Starlite Blue, Tuxedo Black, White Sugar

Collector Edition Colors:Aqua 8, Blaze 8, Concord 8, White Cement 4, Volt, Emerald 5, Infrared, Maize, Mid-Navy 8, Military Blue, Royal 5, True Blue, Varsity, Miami Vice, Melo 2, Dtrt Yellow, PlayOff 8 Grey, Yeezy, Maroon, Grape, Squadron, French Blue, Gamma Blue, Joker Green, Tour Yellow, Thunder Yellow, Infrared 2014

Color Shifting/Changing Combinations:Purple/Blue/Gold, Red/Purple/Blue, Green/Gold/Red, Gold/Red/Mauve, Violet/Blue/Green, Gold/Red/Purple, Mauve/Blue/Green, Blue/Green/Gold, Brown/Red/Violet, Red/Violet/Blue

-color shifting works best on a darker pair of shoes. If you want color shifting on a white or lighter color pair of shoes then choose a darker first color of the shift, such as Purple, Red, Blue, or Brown.