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Thank you!© 2018 Cascade Dafo, Inc. All rights reserved. 53
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 Ankle Foot Orthoses (AFO)• 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 or X-Static®– The Silver Fiber®.• Anti-microbial fibers inhibit odor.
Order SmartKnit Socks-AFO Rev.13 (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:
AFO
AFO Sock Size Dimensions (unstretched)
Style Color(indicate qty for each color checked)
Quantity Total
Polyester X-Static CoolMax
AFO Infant
2 x 9 in.
Fits shoe size: up to child’s 1
standard c ___ white c ___ greyc ___ black
c ___ pinkc ___ purple c ___ navy
toe sock c ___ white
AFO Child Small
2.25 x 11 in.
Fits shoe size: child’s 1.5 – 7
standard c ___ whitec ___ charcoal
c ___ greyc ___ black
c ___ pinkc ___ purple c ___ navy
toe sock c ___ white
AFO Child Regular
2.5 x 14 in.
Fits shoe size: child’s 7.5 – 13
standard c ___ whitec ___ charcoal
c ___ greyc ___ black
c ___ pinkc ___ purple c ___ navy
toe sock c ___ white
AFO Adult Small
3 x 18 in.
Fits shoe size: child’s 13.5 +up to women’s 9up to men’s 8
standard c ___ whitec ___ charcoal
c ___ greyc ___ black
toe sock c ___ white
AFO Adult Regular
3.5 x 20 in.
Fits shoe size: women’s 9.5 +men’s 8.5 +
standard c ___ whitec ___ charcoal
c ___ greyc ___ black
toe sock c ___ white
For current prices and shipping information, please call our Customer Service department:
800.848.7332
