Hoosier OTS Mask to Be In A Major Movie - Main Character Gets Nose Chopped Off

New Order (#3778)

www.indianabrace.com	May 15 (9 days ago)

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Thank you for your order, Martin Lxxxxxxx Your order number is: 3778 Date of order: 5/15/2013 4:17 PM Shipping Method: FedEx Priority Overnight® Payment Method: Credit card payment
Ship To Martin Lxxxxxxx Carver Productions Kaufman Astoria Sudios Stage K 34-37 36th Street Astoria, NY 11106 United States Phone:646-XXX-XXXX
Additional Information Diagnosis: to protect a fake 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: OTS - Broken Nose Only What is the injury?: Broken Nose Only Measurement A: Inside ear to ear across tip of nose.: 12 Measurement B: Top of forehead to tip of nose.: 5 Height?: 5'10" Weight?: 170 Sex?: Male Sport?:  We are making a movie and the main character gets his nose lopped off. We need your mask to use as a protective device. 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: $56.40 Tax: $0.00 Order Total: $285.40