Custom Boot Design and Measurement Form

Your name                                                                                                                          Your phone                                                                                              Date

Your mailing address                                                                                                         Your email address

Picture
Make your style choices:                                                      
Boot style:  pull-on___or fitted___(lace-up, zipper, straps, elastic gore, side lace)
Color Choice for boot_____  lining_____ sole edge______
Activity: dancing, horse riding, sword-fighting, motorcycle riding, hiking, working, business attire
Activity Surface: hardwood, raked stage, carpet, wet, gravel, concrete
Boot Toe Shape: round___, square___, point___, rounded point___, other___
Heel Shape: straight sides__ slanted sides___ curved sides___
Platform: no___ yes___  How tall?___
Picture
Draw an outline of each foot.
Use reverse side of this paper.
Sit in a chair and wear your socks.
Hold your pen straight up and down.
First,  make a mark at toe and heel.
                                                      Then draw all around your foot.
Special Fit Areas:       
 Big___or little toe___ needs length ___
        needs room on top___needs room on side___
 Hammer toe?____  Left or right foot?____
 Ball___ instep___needs tight fit___or loose fit___ or normal    Arch is:   regular___high___ flat___ special___                     
Make room in boot for orthotic device ___ or cushion insole___
Picture
     Measure: Your tape measure makes a circle around foot and around leg. Measure over socks. Pants worn in boots?

1 ________           2________        3_______        4_______      

6________            7________        10______                                           Length from heel to toe on foot outline______    


How tall are you?_______   How tall are your boots, sole line to boot top?_____  How tall are boot heels?_____
Picture
Sketch your boot over the boot outline. Show buckles, straps, zippers, studs, inlays  details.
Are buckles and zippers or studs brass___ nickel___ black___other___?

Describe the overall look and feel of your boots: hard___ soft___loose, tight, rustic, refined.
You may attach or email me a picture of the boot you want. But snail mail the order form and foot drawings.
john@ShraderBootmaker.com           900 Irwin Lane, Santa Rosa, CA 95401               Phone 707-242-1858