Linda from Akron, OH Orders a Hoosier OTS Facemask

New Order (#3700) - Hoosier OTS Mask

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www.indianabrace.com	Apr 21 (2 days ago)

Order Confirmation

Thank you for your order, Linda Bxxxxx. Your order number is: 3700 Date of order: 4/21/2013 7:41 PM Shipping Method: USPS Priority Mail Payment Method: Credit card payment
Ship To Linda Bxxxxx Akron, OH 44319 United States Phone:330-4XX-XXX9
Additional Information Diagnosis: Broken Nose
Product Information
Product Name Part No. Quantity Item Price Total Price CLYDE'S HOOSIER MASKS - NO VISION OBSTRUCTION - EASY TO USE - WORLDWIDE SHIPPING Select A Model:  Hoosier OTS Facemask - Broken Nose Only What is the injury?: Broken Nose Only Measurement A: Inside ear to ear across tip of nose.: 13.5 Measurement B: Top of forehead to tip of nose.: 6.25 Height?: 6'4'' Weight?: 237 Sex?: Male Sport?: basketball I ackknowledge and agree to the terms and conditions of Indiana Brace's Sales and Refund Policy.: Yes L2999 1 $229.00 $229.00 Subtotal: $229.00 Shipping: $5.70 Tax: $0.00 Order Total: $234.70