Chad from Redondo Beach, CA Orders Pro & Light X1 Turf Toe Blades

New Order (#3749)

www.indianabrace.com	4:39 PM (18 hours ago)

Order Confirmation

Thank you for your order, Chad Exxxxxxx. Your order number is: 3749 Date of order: 5/3/2013 4:39 PM Shipping Method: FedEx 2Day® Payment Method: Credit card payment
Ship To Chad Exxxxxxxx 2XXX Curtis Ave Redondo Beach, CA 90278 United States Phone:310-XXX-XXXX
Additional Information Diagnosis: turf toe
Product Information
Product Name Part No. Quantity Item Price Total Price "STOP THE OUCH!" - CLYDE'S REMARKABLE X1 BLADES FOR TURF TOE & HALLUX RIGIDUS Foot: Right Model: "Pro" Heavy Activity (football,basketball, soccer) Size / CM: Women's 11 1/2 Men's 10 1/2 Diagnosis:: Turf Toe How Will You Be Using Your X1 Blade?: workouts I acknowledge and agree to the terms and conditions of Indiana Brace's Sales and Refund Policy.: Yes Comment About Your Injury?: l3031+l3370 1 $109.95 $109.95 "STOP THE OUCH!" - CLYDE'S REMARKABLE X1 BLADES FOR TURF TOE & HALLUX RIGIDUS Foot: Right Model: "Light" Normal Daily Activity Size / CM: Women's 11 1/2 Men's 10 1/2 Diagnosis:: Turf Toe How Will You Be Using Your X1 Blade?:  light activity I acknowledge and agree to the terms and conditions of Indiana Brace's Sales and Refund Policy.: Yes Comment About Your Injury?: l3031+l3370 1 $89.95 $89.95 Subtotal: $199.90 Shipping: $29.04 Tax: $0.00 Order Total: $228.94