Print this out and send it in or go to our online
ordering section to order electronically.
Shipping and Handling:
Please add $7.00 for the first tool and $5.00 for
each additional tool.
OH Residents please add correct sales tax.
|Number of tools:
|Credit Card Type (circle one):_
|Credit Card Number:
MAIL TO: Pittsburgh Adjustable Brace
Po box 464
Malvern, OH 44644
_________Tools @ $29.95 __________
Shipping and Handling __________
Sales Tax (OHIO
Total Enclosed ____________________
Credit card or money order only - No C.O.D's
Please allow 1-3 weeks for Delivery
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