LEEDerGroup.com

LEEDer Group Inc.
8508 North West 66th St.
Miami, Florida 33166 USA

Phone Toll-free: 866.814.0192
Fax Toll-free: 866.818.0373
E-mail Address: orders at LEEDerGroup.com

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February 04 2012, 12:29am

On-Line Order Form 2-SF / LG Customers Only...

Company Name*
Email Address*
PO Number*
Ship to Address For Drop Ships; otherwise Click the Small Box Below for Ship to Your Address we have on File
Ship to Address on File ----- Check this box -----

Product

Quantity

Select a product ----------- CATEGORY: KYDEX-PRO BOOT ORTHOSIS------------------------LBR = KYDEX-PRO Bed Boot RegularLBL = KYDEX-PRO Bed Boot LargeLBMR = KYDEX-PRO Amboot RegularLBML = KYDEX-PRO Amboot LargeLBP = KYDEX-PRO Bed Boot PediatricLBMP = KYDEX-PRO Amboot PediatricCATEGORY: 1-2-3 PRO-REST ORTHOSIS with Flex-E-Core------LRLL-PRO = 123 PRO-REST LARGE LEFTLRLR-PRO = 123 PRO-REST LARGE RIGHTLRML-PRO = 123 PRO-REST MEDIUM LEFTLRMR-PRO = 123 PRO-REST MEDIUM RIGHTLRSL-PRO = 123 PRO-REST SMALL LEFTLRSR-PRO = 123 PRO-REST SMALL RIGHTLRPR-PRO = 123 PRO-REST PEDIATRIC RIGHTLRPL-PRO = 123 PRO-REST PEDICATRIC LEFTCATEGORY: 1-2-3 PRO-GRIP ORTHOSIS with Flex-E-Core-------LGLL-PRO = 123 PRO-GRIP LARGE LEFTLGLR-PRO = 123 PRO-GRIP LARGE RIGHTLGML-PRO = 123 PRO-GRIP MEDIUM LEFTLGMR-PRO = 123 PRO-GRIP MEDIUM RIGHTLGSL-PRO = 123 PRO-GRIP SMALL LEFTLGSR-PRO = 123 PRO-GRIP SMALL RIGHTLGAA-PRO = 123 PRO-GRIP AIR ASSISTLGPL-PRO = 123 PRO-GRIP PEDIATRIC LEFTLGPR-PRO = 123 PRO-GRIP PEDIATRIC RIGHTCATEGORY: PRO-MULTI USE BOOT ORTHOSIS with Flex-E-Core----LMUA = PRO-MULTI USE BOOT ADULTLMUA-NS = PRO-MULTI USE ADULT Night SplintLMUF = PRO-MULTI USE BOOT Firm +225 lbsLMUP = PRO-MULTI USE PEDIATRICCATEGORY: 1-2-3 PRO-DORSAL ORTHOSIS Flex-E-Core----------LDML-PRO = 123 PRO-DORSAL MEDIUM LEFTLDMR-PRO = 123 PRO-DORSAL MEDIUM RIGHTLDSL-PRO = 123 PRO-DORSAL SMALL LEFTLDSR-PRO = 123 PRO-DORSAL SMALL RIGHTCATEGORY: PRO-LSO Mini and Flex-E-Core ORTHOSIS----------LSO-MINI = PRO-MINI 116-CF-XSLSO-S = PRO-LSO Flex-E-Core 11-6-SMALLLSO-M = PRO-LSO Flex-E-Core 11-9-MEDIUMLSO-L = PRO-LSO Flex-E-Core 16-9-LARGECATEGORY: BELKIS PRO-TLSO ORTHOSIS Flex-E-Core ----------BELKIS PRO-TLSO LARGEBELKIS PRO-TLSO MEDIUMBELKIS PRO-TLSO SMALLCATEGORY: PRO-SEWHO ORTHOSIS for Wheelchair--------------LG-PRO-SEWHO-Assembly Standard WheelchairCATEGORY: PRO-HKO (Air Bladder & Mechanical Spreader)----LG-PRO-HKO-24LG-PRO-HKO-32CATEGORY: PRO-KNEE, NAVO-PRO & PRO-ELBOW ORTHOSES-------LKL = PRO-KNEE LargeLKM = PRO-KNEE MediumLKS = PRO-KNEE SmallLEL = PRO-ELBOW LargeLEM = PRO-ELBOW MediumLES = PRO-ELBOW SmallNAVO-PRO Large Flex-E-CoreNAVO-PRO Medium Flex-E-CoreNAVO-PRO Small Flex-E-CoreTo Order Catalogs and Collaterals Category-------------------Send Current Catalog(s)Send Tri-Fold Brochure(s) GreenSend Two Sided Handout(s) Goldie Product Options ----------- With Fleece NO Fleece

Use of this Order-Form constitutes Full Agreement with LEEDer Group Sales Policies.

Special Instructions: 2-FS= Ground Only; you can Specify Differently Ship Instructions HERE --------
I agree to the terms above*

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Find Professional Orthoses-Products FAST:

CLICK a category BOX 1-8 to see drop down product list

• 1. Ankle-Foot Orthoses
  • Multi Podus * Pediatric
  • Dorsal Night Splints
  • Multi Podus * AmBoot
  • Stirrup Ankle Brace Air
  • Multi Podus * Bed Boot L4396
  • Multi Use Boot Flex-E-Core
  • Night Splint that Works!
• 2. Lower Extremity Orthoses
  • Multi Podus * Pediatric
  • Passive Night Splint
  • Multi Use Boot Splint Pediatric
  • Air Knee L1847
  • Knee L-1831-32
  • Multi Podus * AmBoot
  • Stirrup Ankle Brace Air
  • Cam Walker
  • Knee Splints
  • Navo Knee
• 3. Upper Extremity Orthoses
  • Air Grip Hand Splints L3807
  • Pediatric REST L3807
  • Pediatric GRIP Universal
  • GRIPing Hand Splints L3807
  • Elbow Orthosis L3760
  • RESTing Hand Splints L3807
  • Dorsal Hand Splints L3807
  • Carpal Tunnel Wrist Splint
  • SEWHO L-3964
  • Carpal Tunnel Hand Splint
• 4. Back Brace Orthoses
  • Lower Back Pain Relief
  • LSO Lumbo Sacral Back Braces
  • Mini LSO...Mighty Effective
  • Belkis TLSO
  • Back Brace Treatment
• 5. HKO Hip-Knee Orthoses
  • HKO Hip Knee Abductor L 1652
• 6. Wheelchair Accessories
  • SEWHO L-3964
  • Arm Rests Cushions
  • Air Support Cushion K0736
• 7. Wraps & Supports
  • LumboSacral Support
  • ThoraColumbar Back Support
  • Elastic Abdominal Support
  • Universal Clavicle Shoulder
  • Watson Jones Shoulder
  • Arm Sling Elevator
• 8. Wheelchair Cushions
  • Air Support Cushion K0736
  • GEL Wedge Cushions
  • E2601 Dura GEL Thin Cushions
  • GEL Pommel Cushions
  • Lumbar Cushions
  • E-2607 DuraGel Cushion

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