ORTHOPOOL PURCHASE ORDER FORM

This form is for Non-credit card purchase orders ONLY.
You will have the option of sumitting this order by E-mail, FAX, or Postal Mail.

If you prefer, you can also submit your order by hand, using our blank order form.

Please specify the quantities for each of the products you wish to purchase.

QUANTITY	ITEM	PRICE
	ANKLE STRAP	$  35.00 for 3 - 99 $  30.00 for 100 or more minimum order - 3 straps
	CAST THUMB RING - PEDIATRIC	price per ring: $   2.49 for 36 - 99 rings $   2.24 for 100 - 249 rings $   2.14 for 250 - 499 rings $   1.99 for 500 or more rings minimum order - 36 rings
	CAST THUMB RING - SMALL
	CAST THUMB RING - MEDIUM
	CAST THUMB RING - LARGE

Shipping method:

GROUND

Next Day