|
ORDER FORM: DIABETIC AND COMFORT SOCKS
* PAY BY CHECK (the safest way) COPY THIS ORDER FORM AND MAIL TO:
Diabetic and Comfort Socks P.O. Box 703 Port Orchard, Wa. 98366
NAME______________________________ADDRESS_________________________________________
CITY_________________________STATE______ZIP_____________PHONE______________________
INFORMATION CALL: 360-876-8363
STYLE # 1 THERASOCK (double sock system)
Crew $12.95 In Colors: White-Black-Brown-Navy Mini Crew $11.95
Color: White
STYLE # 2 THERASOCK (wide double sock system) CREW $12.95 Colors: White-Black
STYLE # 3 SMARTKNIT (seamless) Crew $12.95 Each or 3/$37.50 or
6/$72.00 Colors: White (Black and Grey see style # 6)
Mini-Crew $11.95 Colors:White
STYLE # 4 CARE SOX PLUS CREW $10.95 EACH COLOR:
WHITE
STYLE # 6 SMARTKNIT SEAMLESS X-STATIC SOCKS $13.50 Colors:
Grey-Black Mini-Crew Color Grey $12.50
STYLE # 7 Smartknit Seamless X-Static Wide Sock System Color: Black $13.50 a pair White in Smartknit
STYLE # 10 Comfort System Lite Crew $8.95 Colors:White,Black,Navy,Brown. Mini-Crew $7.95 Color White
STYLE # 11 Comfort System Plus
Crew $9.95 Colors:White,Black Navy,Brown. Mini-Crew $8.95 Color White
Style # 7 Diabetic Foot Cream
|
|
How Many Total: Call for Pricing
|
Style # 8 Diabetic Hand & Body Cream
|
|
How Many Total:Call for Pricing
|
SUB TOTAL__________________
Washington Residents Pay 8.6% Sales Tax__________________
Shipping call for pricing__________________
TOTAL___________________
QUESTIONS E-MAIL
|