thermoplastic afo work order - elite...

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FOR LAB Weight: ______________ Ship Via: Ground Next Day Next Day Saver Date Received: ____________ USE ONLY TRACKING # _________________ Shipping Cost $ __________________ Date Shipped: _____________ *If you do not choose an option, you will receive the Std.*

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Page 1: ThermoPlastic AFO Work Order - Elite Orthoticseliteorthotics.com/.../2012/03/ThermoPlastic-AFO-Work-Order.pdf · Long Foot Plate Wall Other Options Ankle Strap 1" Std. Flange Medial

   

 

FOR  LAB       Weight:  ______________     Ship  Via:     Ground   Next  Day   Next  Day  Saver     Date  Received:  ____________    USE  ONLY     TRACKING  #  _________________     Shipping  Cost  $  __________________     Date  Shipped:  _____________  

*If  you  do  not  choose  an  option,  you  will  receive  the  Std.*