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JUZO NON-CUSTOM WRAP LEG:FOOT … NON-CUSTOM WRAP LEGFO… · Calf Foot Compression Cotton Stockinette Basic Compression Anklets Hook Fasteners Cotton Stockinette Date P.O. Number
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Calf
Foot
Compression Cotton Stockinette
Basic CompressionAnklets
Hook Fasteners
Cotton Stockinette
Date
P.O. Number
Ship Via
Company Name
Account #
Phone
Fax
Fax: 1-800-645-2519email : [email protected]
Special requests:
Contact Name & Number:
XStatic Silver TubularComponent
Silver Liner
Ulcer Liner
6000 AB
4411 AB
6000 BD
6000 FA
9640
9641
6080
6081RL
1600
25 Yard Roll Only
Segment LengthRegular or Long Specifications
Roll
Model # S M L XL 2XL
S M L XL 2XL
2 3 4 5 6
Accessories SpecificationsModel #
Model #StockinetteAccessories
Accessories Model # 40mm 75mm 85mm
25 Yard Roll Only
Pieces
Dual Stretch Stocking 6091 AD
I II III IV VAccessories SpecificationsBlack or BeigeModel #
STWRAPORDER 0815
11 yard Roll
20 length pc
LengthShort or Regular
6000 BD Max
6092 AD
6081PC
Regular
Regular
Long
Long
JUZO NON-CUSTOM WRAP LEG/FOOT MEASUREMENT FORM
