Casting Footplates
Clear Form Data
TO ORDER— 1) SAVE to desktop 2) Fill this out 3) Print, fax/mail to Cascade; -or- fill this out, save, email to [email protected]
Casting Footplates
Cascade Dafo, Inc. 1360 Sunset Ave, Ferndale, WA 98248 ph 800.848.7332 intl +00 1 360 543 9306 fax 877.856.2160 www.cascadedafo.com
Prices are subject to change without notice. For current prices and shipping, please call our Customer Service staff:
800-848-7332 •
Set includes two widths: narrow and wide.
•
Quick and easy to use.
•
Helps create more accurate casts.
•
Unique no-slip design.
•
Flexible plastic reduces the need for modifications and simplifies posting.
•
Designed with all plantar surface contours— peroneal, longitudinal and metatarsal arches and the DAFO® signature toe rise.
•
Removable from the cast before shipping to keep your inventory complete at all times.
•
Footplates stack easily.
•
Convenient carrying case for easy transport.
Item
Description, Sizes
Unit Price
Quantity
Casting Footplates
All sizes, narrow and wide—56 pairs total
$200.00
Casting Footplates
Sizes 4.00 in. (10.2 cm) to 7.75 in. (19.7 cm), narrow and wide—32 pairs total
$115.00
Casting Footplates
Adult sizes 8.00 in. (20.3 cm) to 10.75 in. (27.3 cm), narrow and wide—24 pairs total
full set
pediatric set
“Completer” set
Price
$85.00 Subtotal Shipping & handling
For expedited or international shipping charges, please call Customer Service.
WA state residents add local tax
Grand Total Payment Options c Facility Billing
Account Name / #:
c Direct Purchase
C heck c Attached
c C.C. On File
PO #:
OR
Credit card: c Visa c Mastercard c AMEX c Discover
Credit Card No :
Exact name on card:
Exp. Date:
Billing
c
Facility:
Shipping contact name:
Street address:
Street address: State: Zip:
Same as Billing Information
City:
Phone: Email: © 2015 Cascade Dafo, Inc. All rights reserved.
VCode:
Shipping
Name:
City:
Cardholder’s phone:
State: Zip:
Phone: Email: 52
Thank you!
Order Casting Footplates Rev.12 (Jan 11)
TO ORDER— 1) SAVE to desktop 2) Fill this out 3) Print, fax/mail to Cascade; -or- fill this out, save, email to [email protected]
Casting Footplates
Cascade Dafo, Inc. 1360 Sunset Ave, Ferndale, WA 98248 ph 800.848.7332 intl +00 1 360 543 9306 fax 877.856.2160 www.cascadedafo.com
Prices are subject to change without notice. For current prices and shipping, please call our Customer Service staff:
800-848-7332 •
Set includes two widths: narrow and wide.
•
Quick and easy to use.
•
Helps create more accurate casts.
•
Unique no-slip design.
•
Flexible plastic reduces the need for modifications and simplifies posting.
•
Designed with all plantar surface contours— peroneal, longitudinal and metatarsal arches and the DAFO® signature toe rise.
•
Removable from the cast before shipping to keep your inventory complete at all times.
•
Footplates stack easily.
•
Convenient carrying case for easy transport.
Item
Description, Sizes
Unit Price
Quantity
Casting Footplates
All sizes, narrow and wide—56 pairs total
$200.00
Casting Footplates
Sizes 4.00 in. (10.2 cm) to 7.75 in. (19.7 cm), narrow and wide—32 pairs total
$115.00
Casting Footplates
Adult sizes 8.00 in. (20.3 cm) to 10.75 in. (27.3 cm), narrow and wide—24 pairs total
full set
pediatric set
“Completer” set
Price
$85.00 Subtotal Shipping & handling
For expedited or international shipping charges, please call Customer Service.
WA state residents add local tax
Grand Total Payment Options c Facility Billing
Account Name / #:
c Direct Purchase
C heck c Attached
c C.C. On File
PO #:
OR
Credit card: c Visa c Mastercard c AMEX c Discover
Credit Card No :
Exact name on card:
Exp. Date:
Billing
c
Facility:
Shipping contact name:
Street address:
Street address: State: Zip:
Same as Billing Information
City:
Phone: Email: © 2015 Cascade Dafo, Inc. All rights reserved.
VCode:
Shipping
Name:
City:
Cardholder’s phone:
State: Zip:
Phone: Email: 52
Thank you!
Order Casting Footplates Rev.12 (Jan 11)
