Purchasing Info
To order your OnTrack Brace please fill this form:
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Date Ordered:
May 25, 2007
Terms:
Net 30 Days
Ship Via:
UPS Ground Service
UPS 3 Day Select
UPS 2-nd Day Air
UPS Next Day Air Saver
#
QTY
ITEM
Sizing: Circumference at Mid-Patella
Price
Total
102
X-Small System*
12” – 13”
95.00
103
Small System*
13” – 14”
95.00
104
Medium System*
14” – 15”
95.00
105
Large System*
15” – 16”
95.00
106
X-Large System*
16” – 17”
95.00
107
XX-Large System*
17” – 18”
95.00
202
X-Small Knee Cuff & Strap only
Same as above
56.00
203
Small Knee Cuff & Strap only
Same as above
56.00
204
Medium Knee Cuff & Strap only
Same as above
56.00
205
Large Knee Cuff & Strap only
Same as above
56.00
206
X-Large Knee Cuff & Strap only
Same as above
56.00
207
XX-Large Knee Cuff & Strap only
Same as above
56.00
401
Neoprene Strap only
N/A
10.00
301
Box of 32 self-adhesive patches
N/A
39.00
501
Patient Education Video
N/A
8.00
Subtotal:
Ship/Handling:
Total:
*Note:
Each OnTrack® order includes (1) knee cuff, strap and VMO activator kit, (1) box of 32 tape patches & (1) patient video. Additional items must be indicated if needed.
© OrthoRx, Inc. 2007 Site made by
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