solidea measurement form for non-custom arm sleeve & hand
TRANSCRIPT
ORDER FORMFax No: 860.233.8974
Date
PO No
Name Name
Address Address
City City
State / Zip State / Zip
Qty. Item No. Size Color Price Total
Special Instructions Sales Tax Total
Description
Contact E- Mail Phone Fax
BILLING INFORMATION SHIPPING INFORMATION
1. Solidea Medical shall not be liable for any delay in delivery that is a result of acts not under Solidea Medical's control 2. Delivery dates are best estimates only 3. Solidea Medical is not responsible for negligent acts by delivery service, including lost, stolen or damaged parcels 4. Product may be returned within 30 days after receipt and purchaser will receive an exchange, credit or full refund (excluding shipping) if item has not been altered or marked on. Purchaser must call customer service at 888.841.8834 and obtain a Return Authorization (RA) number 5.The liability of Solidea Medical shall be limited to replacement of the goods or refund of the purchase price, all at the option of Solidea Medical and in no case shall Solidea Medical be liable for incidental or consequential damages of any kind for any reason 6. These Terms shall be governed by the Laws of the State of Connecticut 7. Solidea Medical retains the right to change the above mentioned Terms and
30 Arbor St. B-North, Hartford, CT 06106 I [email protected] I P 888.841.8834 I F 860.233.8974 I SolideaMedical.com Solidea Medical is a trade name of Imagine That, Inc.
Account Number: 4057807
(example PT/OT/PTA)Date:
Luna Medical, Inc. · Specialists in Venous & Lymphatic Insufficiencies1360 N. Sandburg Terrace · Suite #103 · Chicago, IL 60610 · Phone (800) 380-4339 · Fax (888) 696-0299 · www.lunamedical.com
ORDER FORMORDER FORMFax No: 860.233.8974
Date
PO No
Name Name
Address Address
City City
State / Zip State / Zip
Qty. Item No. Size Color Price Total
Special Instructions Sales Tax Total
Description
Contact E- Mail Phone Fax
BILLING INFORMATION SHIPPING INFORMATION
1. Solidea Medical shall not be liable for any delay in delivery that is a result of acts not under Solidea Medical's control 2. Delivery dates are best estimates only 3. Solidea Medical is not responsible for negligent acts by delivery service, including lost, stolen or damaged parcels 4. Product may be returned within 30 days after receipt and purchaser will receive an exchange, credit or full refund (excluding shipping) if item has not been altered or marked on. Purchaser must call customer service at 888.841.8834 and obtain a Return Authorization (RA) number 5.The liability of Solidea Medical shall be limited to replacement of the goods or refund of the purchase price, all at the option of Solidea Medical and in no case shall Solidea Medical be liable for incidental or consequential damages of any kind for any reason 6. These Terms shall be governed by the Laws of the State of Connecticut 7. Solidea Medical retains the right to change the above mentioned Terms and
30 Arbor St. B-North, Hartford, CT 06106 I [email protected] I P 888.841.8834 I F 860.233.8974 I SolideaMedical.com Solidea Medical is a trade name of Imagine That, Inc.N. Sandburg Terrace · Suite #103 · Chicago, IL 60610 · Phone (800) 380-4339 · Fax (888) 696-0299 · www.lunamedical.com
Luna Medical, Inc. · Specialists in Venous & Lymphatic Insufficiencies1816 W. Belmont Avenue · Suite 1 · Chicago, IL 60657 · Phone (800) 380-4339 · Fax (888) 696-0299 · www.lunamedical.com
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Massage
Tech
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easy
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Compression
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gau
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ft, breathab
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fortab
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knit fabric
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ligh
ter grad
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to create
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for
everyd
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activity
.
Silv
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iber
s: Spe
cialized
silver
infused
yarn
naturally
helps
redu
ce bacteria
, the ch
ance
of infection,
and
insures
all da
y freshn
ess.
CIRC
UM
FERE
NCE
(cm
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S
M
L
c C
13
–16
16
–19
19
–22
c D
20
–24
24
–28
28
–32
c F
22
–30
30
–37
36
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e M
assa
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ctio
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nise
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aunt
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Mic
ro M
assa
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Gau
ntle
t •
Active
Massage
Tech
nology
• Seam
less
circ
ular
knit constructio
n•
Non
-restrictiv
e and
easy
to put
on
• Frictio
n re
ducing
com
fort
weave
betwee
n th
umb an
d inde
x �n
ger
• Designe
d fo
r pa
iring
with
any
of So
lidea’s
arm
sleeves
• So
ft, breathab
le, moisture
wicking
fabric
• 82
% Nylon
, 18%
Lycra, Latex
Free
item
cod
e
com
pres
sion
ite
m d
escr
iptio
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co
lor
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0429
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25/3
2 m
mH
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let
S M
L X
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CIRC
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FERE
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(cm
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18–2
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24-2
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Med
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peci
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Ven
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mph
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Insuffi
cien
cies
1360
N. S
andb
urg
Terr
ace
· Sui
te #
103
· Chi
cago
, IL
6061
0 · P
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(800
) 380
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ax (8
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· Pho
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80-4
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· Fax
(888
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Luna
Med
ical
, Inc
. · S
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mph
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1816
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venu
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ago,
IL 6
0657
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80-4
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(888
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med
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