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If you prefer, you can submit a purchase order by E-mail, FAX, or Postal Mail.
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ORTHOPOOL, INC. Toll-Free: 1-800-423-8348
510 Route 304 Tel: 1-845-638-4766
New City, NY 10956 (USA) FAX: 1-845-638-4689
www.orthopool.com E-mail: info@orthopool.com
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SHIP TO: Phone:( )
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Address: Fax #:( )
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City: State: Zip:
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Country: E-mail:
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PRICING:
| ANKLE STRAP |
| QUANTITY |
PRICE PER STRAP |
| 3-99 |
$35.00 |
| 100+ |
$30.00 |
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| CAST THUMB RING |
| QUANTITY |
PRICE PER RING |
| 36-99 |
$2.49 |
| 100-249 |
$2.24 |
| 250-499 |
$2.14 |
| 500+ |
$1.99 |
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ORDER:
| ITEM |
QUANTITY |
PRICE |
AMOUNT |
| ANKLE STRAP |
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| CAST THUMB RING - PEDIATRIC |
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| CAST THUMB RING - SMALL |
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| CAST THUMB RING - MEDIUM |
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| CAST THUMB RING - LARGE |
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| MERCHANDISE TOTAL |
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| SHIPPING & HANDLING
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| GRAND TOTAL |
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