Lift Me LeveL

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Shoe Lift Price Quote Form

Shoe Lifts,Modifications & Repair Service

Footwear Modification

Lift Me LeveL

Shoe Lifts,Modifications & Repair Service

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Leg Length Discrepancy Short leg

Fused Ankle Limited Ankle Motion

Metatarsal Discomfort

Feet Rolling Over

Limited Hand Use

Diabetic Shoes Refurbishing

O & P Brace Set-Up and Repairs

Shoe Repair

Contact US

www.powelloandp.com

1. Type in your Name, Phone Number and E-mail Address in the boxes above.

2. Select Right or Left Side, desired height in inches or centimeters in the boxes below.

3. Type In your questions or comments in the comment box.

4. Make correction on this form before you click submit.

5. Click - Submit

How to use this form

Shoe Lift Quote

Type in your information and we will e-mail you a price quote

Shoe Lifts:

Select Right or Left - Side

Desired Height In Inches   

Desired Height In Centimeters

Any Additional Questions or Comments :

Before you click the submit  button on this page, Print a Copy for your records .

Price Quote Click Submit

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Metatarsal Discomfort

Feet Rolling

Over

Limited Hand Use

Velcro Straps

Diabetic Shoe Refurbishing

O & P

Brace Set-Up and Repairs

Shoe Repair

Contact US

Shoe Lift

Fused Ankle Limited Motion

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                                                Right - SideLeft - Side

1/8”1/4" 3/8" 1/2" 5/8" 3/4" 7/8" 1"1-1/8”1-1/4"1-3/8"1-1/2"1-5/8"1-3/4"1-7/8"2"2-1/8”2-1/4"2-3/8"2-1/2"2-5/8"2-3/4"2-7/8"3"3-1/8”3-1/4" 3-3/8" 3-1/2" 3-5/8" 3-3/4" 3-7/8"4"4-1/8”4-1/4" 4-3/8" 4-1/2" 4-5/8" 4-3/4" 4-7/8"5"5-1/8”5-1/4" 5-3/8" 5-1/2" 5-5/8" 5-3/4" 5-7/8"6"6-1/8”6-1/4" 6-3/8" 6-1/2" Additional Height Need -Type in the comment box.

                                                      1mm2mm3mm4mm5mm6mm7mm8mm9mm1cm1.1cm1.2cm1.3cm1.4cm1.5cm1.6cm1.7cm1.8cm1.9cm2cm2.1cm2.2cm2.3cm2.4cm2.5cm2.6cm2.7cm2.8cm2.9cm3cm3.1cm3.2cm3.3cm3.4cm3.5cm3.6cm3.7cm3.8cm3.9cm4cm4.1cm4.2cm4.3cm4.4cm4.5cm4.6cm4.7cm4.8cm4.9cm5cm5.1cm5.2cm5.3cm5.4cm5.5cm5.6cm5.7cm5.8cm5.9cm6cm6.1cm6.2cm6.3cm6.4cm6.5cm6.6cm6.7cm6.8cm6.9cm7cm7.1cm7.2cm7.3cm7.4cm7.5cm7.6cm7.7cm7.8cm7.9cm8cm8.1cm8.2cm8.3cm8.4cm8.5cm8.6cm8.7cm8.8cm8.9cm9cm9.1cm9.2cm9.3cm9.4cm9.5cm9.6cm9.7cm9.8cm9.9cm10cm10.1cm10.2cm10.3cm10.4cm10.5cm10.6cm10.7cm10.8cm10.9cm11cm11.1cm11.2cm11.3cm11.4cm11.5cm11.6cm11.7cm11.8cm11.9cm12cm12.1cm12.2cm12.3cm12.4cm12.5cm12.6cm12.7cm12.8cm12.9cm13cm13.1cm13.2cm13.3cm13.4cm13.5cm13.6cm13.7cm13.8cm13.9cm14cm14.1cm14.2cm14.3cm14.4cm14.5cm14.6cm14.7cm14.8cm14.9cm15cm15.1cm15.2cm15.3cm15.4cm15.5cm15.6cm15.7cm15.8cm15.9cm16cm16.1cm16.2cm16.3cm16.4cm16.5cmAdditional Height Need -Type in the comment box.