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If you wish to order by mail:

1. PRINT this order form using your browser's print button. 

OR 

2. Call us at 312-409-2175 and we will send you an order form by mail, fax or e-mail.

Order Form

* available to licensed practitioners only *

*the following prices are for individual orders within the United States.

For information on institutional pricing or international pricing, call Footco at 312-409-2175 or e-mail us.

Item # Description Cost Qty Total
FCO-901 Casting the Foot (VHS) $125/ea
FCO-902 Cast Modifications (VHS) $175/ea
FCO-901/902 Casting the Foot plus Cast Modifications (Combo Pkg) (VHS) $250/pkg
FCO-903 Cast the Foot (Interactive CD ROM) $150/ea
SH-01 US Mail insured $8.50/ea
SH-02 UPS Ground $8.50/ea

Ship to: _________________________________________________

Company:________________________________________________

Address:_________________________________________________

City:___________________________ State:_____ Zip:____________

Phone:_________________________ E-mail:____________________

Method of Payment Check# Amount enclosed
     
Money Order 
Check

Please send this form to:

Footco Orthopedic

Biomechanics Education

POB 13377

Chicago, IL        60613

* Allow 1 week for order processing. CD ROMs may take longer. A receipt of your order will be

sent via e-mail with estimated delivery times.