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P0174RevA Upper Extremity cover up color graduate™ foam liner color NOTES: Custom Arm & Glove Fax Orders: 1-800-879-2135 Email: [email protected] circaid ® inelastic compression garments arm glove dorsum strap open side dorsum strap and open side hand wrap graduate™ arm (includes hand cover) juxtafit™ essentials Arm options exterior black (default) beige red turquoise interior beige (default) red turquoise Right Quantity Left black (default) pink beige Quantity Quote Credit Card Info Customer Name Customer No. Purchase Order No. Fax

Custom Arm & Glove Quote Fax Orders: 1-800-879-2135 Email ......Custom Arm & Glove Fax Orders: 1-800-879-2135 Email: [email protected] circaid ® inelastic compression garments arm

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Page 1: Custom Arm & Glove Quote Fax Orders: 1-800-879-2135 Email ......Custom Arm & Glove Fax Orders: 1-800-879-2135 Email: customs@mediusa.com circaid ® inelastic compression garments arm

P017

4Rev

A

Upper Extremitycover up color

graduate™ foam liner color

NOTES:

Custom Arm & GloveFax Orders: 1-800-879-2135

Email: [email protected]

circa

id®

inel

astic

com

pres

sion

garm

ents

arm glove

dorsum strap open side dorsum strap and open side

hand wrapgraduate™ arm (includes hand cover)

juxtafit™ essentials

Arm options

exterior black (default) beige red turquoise

interior beige (default) red turquoise

Right QuantityLeft black (default) pink beige

Quantity

Quote

Credit Card Info

Customer Name Customer No. Purchase Order No. Fax