You have received a new order.
Order Confirmation
Thank you for your order, DG.
Your order number is: 3747
Date of order: 5/3/2013 11:51 AM
Shipping Method: FedEx 2Day®
Payment Method: Customer Account
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Ship To
TCU Sports Medicine
3500 Bellaire Drive
Fort Worth, TX 76129
United States
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Additional Information
Diagnosis: severe turf toe injury
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Product Information
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| Product Name | Part No. | Quantity | Item Price | Total Price |
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Foot: Left
Model: "Pro" Heavy Activity (football,basketball, soccer)
Size / CM: Men's 13
Diagnosis:: Turf Toe
How Will You Be Using Your X1 Blade?:
D1 Football
I acknowledge and agree to the terms and conditions of Indiana Brace's Sales and Refund Policy.: Yes
Comment About Your Injury?: This is a severe left turf toe injury
| TL-501-31-P-L | 2 | $109.95 | $219.90 |
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$219.90
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$23.50
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$0.00
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$243.40 |
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