For your protection, we are no longer taking your credit card information over our website. We are concerned with the many reports of credit card fraud on the Internet.

Please fill out the order form completely with your phone number and email. We will contact you (or you can contact our office) by phone to give us you credit card information.

 

Rush Order To:

  Mr. Ms.
Name:    
Address:
City:                        
State/ Province:    
Country:                 
Zip/ Postal Code: 
Telephone:              
E-mail address:        
(please include your email so that we can email you 
your Detailed Foot Analysis)

Quantity of Orthotics required (in pairs): 1pair/$399US or 2 pair/$600US + Shipping & Handling

Thank you for ordering COMPLETE FAMILY-MED ORTHOTICS.
You are already on your way to a better life!!

 

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