Fill out and print page.  Then Fax to Advanced Brace.
Fax number
972-259-4537


Return Policy

Order Your product by fax and we will ship out the product within 72 Hours or give you a call if there is a problem.

Enter the name, description and size of the support that you want to order:

Tell us how to get in touch with you:

Name   
E-mail 
Tel    
FAX     
Shipping Address:

          

Shipping Preference
Ground - $5.95 (items up to 1 lbs.), $6.95 (items 1-2 lbs.), $7.95 (items 2-3lbs.), $8.95 (items 3-4), $9.95(items 5+ lbs.).  Allow 3 to 6 business days shipping.
2nd Day - UPS or Federal Express - $20
Overnight - UPS or Federal Express - $30
For Orders Call or E-mail us for Quote.
 
How do you want to pay for your order:

                   Visa              MasterCard           American Express

                Credit Card Number: 

                Expiration Date:        

Please contact me as soon as possible regarding this order.

 

 
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Revised: March 15, 2008.