6299 Guion Rd. Indianapolis, IN 46268 800.444.3632 800.233.2280 Fax www.alliedosilabs.com Doctor’s Name ____________________________________ Doctor’s Address __________________________________ City ________________________________ State ________ Zip ___________ Phone ____________________________ Email (Required) __________________________________ September 1st - October 31st 2014 Part # Size Sizing Chart Special Promotion Buy 10, get 2 Free* Price Quantity Game Ready Figure 8 Ankle Brace DC40 XSMALL *10-11 $9.55 _________ DC41 SMALL *11-12 $9.55 _________ DC42 MEDIUM *12-13 $9.55 _________ DC43 LARGE *13-14 $9.55 _________ DC44 XLARGE *14-15 $9.55 _________ DC45 XXLARGE *15-16 $9.55 _________ * Ankle Circumference - measure ankle diagonally over the base of the heel and across the ankle bone Game Changer Walker Boot - TALL DC2 SMALL M4.5-7/W 6-8 $23.95 _________ DC3 MEDIUM M 7.5-10/W 8.5-11 $23.95 _________ DC4 LARGE M 11-12.5/W 12-13.5 $23.95 _________ DC5 XLARGE M 13+/W 14+ $23.95 _________ Game Changer Walker Boot - SHORT DC11 SMALL M 4.5-7/W 6-8 $23.95 _________ DC12 MEDIUM M 7.5-10/W 8.5-11 $23.95 _________ DC13 LARGE M 11-12.5/W 12-13.5 $23.95 _________ DC14 XLARGE M 13+/W 14+ $23.95 _________ Cloud 9 Air Ankle Stirrup DC20 Youth $9.75 _________ DC21 Standard $9.75 _________ Home Stretch Adjustable Night Splint DC30 Small M 7/W 7.5 $12.85 _________ DC31 Medium M 7.5-10/W 8-10.5 $12.85 _________ DC32 Large M 10.5+ /W 11+ $12.85 _________ Adjustable Dorsal Night Splint DC122 Universal $12.85 _________ Sure Step Post Op Shoe DC110 M/SM *5-6 $6.20 _________ DC111 M/MED *7-8 $6.20 _________ DC112 M/LG 9+ $6.20 _________ DC114 W/SM *4-6 $6.20 _________ DC115 W/MED *6.5-8.5 $6.20 _________ DC116 W/LG *9-11 $6.20 _________ Promo Code: DC102 *Must be same type of product! **Any size