Waco, TX - X1 Blade for Sesamoiditis

Order Confirmation

Thank you for your order, Jonathan Exxxxx. Your order number is: 3632 Date of order: 4/1/2013 2:50 AM Shipping Method: FedEx 2Day® Payment Method: Credit card payment
Ship To Waco, TX 76710 United States Phone:(254) XXX-XXXX
Additional Information Diagnosis: sesamoiditis
Product Information
Product Name Part No. Quantity Item Price Total Price Clyde's X1 Blade with Reverse Morton's Extension for the Treatment of Hallux Limitus, Hallux Rigidus with Bone Spur, or Sesamoiditis Foot: Left Size: Women's 12 Men's 11 / 28 CM What is your injury?: sesamoiditis I acknowledge and agree to the terms and conditions of Indiana Brace's Sales and Refund Policy.: Yes TL-501HL 1 $129.50 $129.50 Subtotal: $129.50 Shipping: $23.50 Tax: $0.00 Order Total: $153.00