Thank you!© 2018 Cascade Dafo, Inc. All rights reserved. 52

Cascade Dafo, Inc.1360 Sunset Ave, Ferndale, WA 98248ph 800.848.7332 intl +00 1 360 543 9306fax 855.543.0092 www.cascadedafo.com

SmartKnit® Interface Socks

Seamless, wrinkle-free socks for use with Supra Malleolar Orthoses (SMO)• No seams mean no rubbing.• Heel-free design to ensure a perfect fit.• Wicking fibers keep feet and legs comfortably cool.• Knit with CoolMax® Polyester, Polyester or X-Static®– The Silver Fiber®.• Anti-microbial fibers inhibit odor.

Order SmartKnit Socks-SMO Rev.3 (June 2017)SmartKnit is a registered trademark of Knit-Rite, Inc.

Billing

Name/Facility:

Street address:

City: State: Zip:

Phone: Email:

Shipping

c Same as Billing Information

Street address:

City: State: Zip:

Phone: Email:

Payment Options

c Facility Billing AccountName / #: PO #: c C.C. On File

OR

c Direct Purchase c Check Attached

Creditcard: c Visa c Mastercard c AMEX c Discover Cardholder’s

phone:

CreditCard No :

Exact nameon card:

Exp. Date:

V- Code:

SMO

SMO Sock Size Dimensions (unstretched)

Color(indicate qty for each color checked)

Quantity Total

Polyester X-Static CoolMax

SMO Child Small2 x 5 in. c ___ white

c ___ charcoalc ___ black c ___ pink

c ___ purple c ___ navy

SMO Child Medium2.375 x 7 in. c ___ white

c ___ charcoalc ___ black c ___ pink

c ___ purple c ___ navy

SMO Child Large2.5 x 8.5 in. c ___ white

c ___ charcoalc ___ black c ___ pink

c ___ purple c ___ navy

SMO Child XL2.75 x 10 in. c ___ white

c ___ charcoalc ___ black c ___ pink

c ___ purple c ___ navy

SMO Child XXL3 x 12 in. c ___ white

c ___ charcoalc ___ black c ___ pink

c ___ purple c ___ navy

For current prices and shipping information, please call our Customer Service department:

800.848.7332