SOLE INNOVATIONS. May we contact you with new, innovative devices and special offers?

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1 SOLE INNOVATIONS "Performance Healing Safety" Unsure of what to order? Try our free service! our Certified specialists with any clinical questions you may have. DME and Casting supplies ORDER FORM COMPANY NAME CONTACT SHIPPING ADDRESS BILLING ADDRESS PHONE FAX How did you hear about us? May we contact you with new, innovative devices and special offers? Please your order to SOLE INNOVATIONS 301 Hot Springs Road #5 Carson City NV PH

2 Walking Boots X Small Small Medium Large X Large Polymer Air Low Polymer Air High Top Polymer Non Air Low Top Polymer Non Air High Top Metal Air Low Top Metal Air High Top Shell Air Low Top XL Shell Air High Top XS Metal Non Air Low Top XL Metal Non Air High Top XS Pediatric Non Air S/M Pediatric Non Air M/L Pediatric Non Air XL $19.50 $19.50 $54.50 $54.50 $19.12 $19.12 $23.75 $23.75 $23.75 Post Op Shoes X Small Small Medium Large X Large Round Toe Womans SM Round Toe Mens MD Square Toe Womans LG Square Toe Mens SM $5.45 $5.45 $7.85 $7.85 Pediatric $7.85 Ankle Support Braces X Small Small Medium Large X Large Support Laces Figure 8 Brace Functional LT Brace Functional RT $15.35 $15.35 Brace Stirrup Gel Pediatric Brace Stirrup Gel Trainer Brace Stirrup Gel Regular Brace Stirrup Air Pediatric Brace Stirrup Air Trainer Brace Stirrup Air Regular

3 AFO's X Small Small Medium Large AFO Leaf Spring RT AFO Leaf Spring LT $29.45 $29.45 AFO Swedish Men LT $9.85 AFO Swedish Men RT $9.85 AFO Swedish Women LT $9.85 AFO Swedish Women RT $9.85 Night Splints Small Medium Large Plantar Adjustable $11.75 Plantar Cloth $11.90 Plantar Wrap $3.75 Rib Belts Universal Female $7.12 Universal Male $7.12 Dorsal Adjustable SM/MD Dorsal Adjustable LG/XL $12.75 $12.75 Exam Gloves (Box of 200) Nitrile XS $10.86 Dorsal SM/MD $11.50 Nitrile S $10.86 Dorsal LG/XL $11.50 Nitrile MD $10.86 Crutches 250lb Limit Youth (case of 10) 250lb Limit Adult MD (case of 10) 250lb Limit Adult LG (case of 10) 300lb Limit Youth (case of 8) 300lb Limit Adult MD (case of 8) 300lb Limit Adult LG (case of 8) $15.00/ $ $15.00/ $ $15.00/ $ $16/$126 $16/$126 $16/$126 Nitrile LG $10.86 Nitrile XL $10.86 Elastic Bandage Clip Closure 2" $12.26 Clip Closure 3" $16.38 Clip Closure 4" $20.87 Clip Closure 6" $30.21 Velcro Closure 2" $17.98 Velcro Closure 3" $22.13 Velcro Closure 4" $26.76 Velcro Closure 5" $29.97

4 Casting Supplies White Red Purple Green Dk Blue Cast Tape Fiberglass 2" Cast Tape Fiberglass 3" $35.91 $46.05 Cast Tape Fiberglass 4" $53.88 Cast Tape Fiberglass 5" $63.24 Splint Roll Fibeglass 2" $44.38 Cast Tape Polyester 2" $30.67 Splint Roll Fibeglass 3" $63.32 Splint Roll Fibeglass 4" $75.46 Cast Tape Polyester 3" Cast Tape Polyester 4" $39.12 $48.43 Splint Roll Fibeglass 5" $92.96 Cast Tape Polyester 5" $56.88 Padding Synthetic 2" $11.01 Padding Synthetic 3" $12.90 Stockinette Synthetic 2" $10.94 Stockinette Synthetic 3" $13.31 Padding Synthetic 4" $14.67 Stockinette Synthetic 4" $14.91 Padding Synthetic 6" $15.10 Stockinette Synthetic 6" $20.77 Padding Cotton 2" $11.01 Stockinette Cotton 2" $9.75 Padding Cotton 3" $12.90 Padding Cotton 4" $14.67 Stockinette Cotton 3" $12.73 Stockinette Cotton 4" $15.48 Padding Cotton 6" $15.10 Stockinette Cotton 6" $19.89 Clavicle Splint XXS $9.13 Splint XS $9.13 Splint S $9.13 Splint ML $9.13 Splint L $9.13 Splint XL $9.13 Shoulders Shoulder Arm Sling XS $6.85 Shoulder Arm Sling SM $6.85 Shoulder Arm Sling MD $6.85 Shoulder Arm Sling LG $6.85 Shoulder Arm Sling XL $6.85 Shoulder Abduction Pillow MD $22.68 Shoulder Abduction Pillow LG $22.68 Shoulder Abduction Pillow XL $22.68

5 Cervicle Collars Arm Slings Soft 2" Univ $4.10 Arm Sling Pediatric XS $6.32 Soft 2.5" Univ $4.10 Arm Sling Pediatric SM $6.32 Soft 3" Univ $4.10 Arm Sling XS $6.32 Firm Closed Cell Foam 2.25" SM $19.67 Firm Closed Cell Foam 2.25" MD $19.67 Firm Closed Cell Foam 2.25" LG $19.67 Firm Closed Cell Foam 3.25" SM $19.67 Firm Closed Cell Foam 3.25" MD $19.67 Firm Closed Cell Foam 3.25" LG $19.67 Firm Closed Cell Foam 4.25" SM $19.67 Firm Closed Cell Foam 4.25" MD $19.67 Firm Closed Cell Foam 4.25" LG $19.67 Firm Closed Cell Foam 5.25" SM $19.67 Arm Sling SM Arm Sling MD $6.32 $6.32 Arm Sling LG $6.32 Arm Sling XL $6.32 Elbows Strap Univ $5.30 Strap Air/Gel Univ $10.86 Strap Padded Univ $19.97 Strap Cold Pack Univ $8.65 ROM LT Univ $48.57 ROMRT Univ $48.57 Firm Hard Plastic 2.25" Univ $38.87 Firm Hard Plastic 3" Univ $38.87 Firm Hard Plastic 3.75" Univ $38.87 Firm Hard Plastic 4.5" Univ $38.87 Firm Closed Cell Foam 5.25" SM $19.67 Firm Hard Plastic 2.25" Univ $38.87 Firm Hard Plastic 3" Univ $38.87 Firm Hard Plastic 3.75" Univ $38.87 Wrist Wrist Orthois Pediatric RT Univ $8.12 Wrist Orthois Pediatric LT Univ $8.12 Wrist Orthois Adult RT Univ $8.12 Wrist Orthois Adult LT Univ $8.12 Wrist Orthosis RT XS $7.28 Wrist Orthosis RT SM $7.28 Wrist Orthosis RT MD $7.28 Wrist Orthosis RT LG $7.28 Firm Hard Plastic 4.5" Univ $38.87 Wrist Orthosis RT XL Wrist Orthosis LT XS $7.28 $7.28 Wrist Orthosis LT SM $7.28 Wrist Orthosis LT MD $7.28 Wrist Orthosis LT LG $7.28 Wrist Orthosis LT XL $7.28

6 Boxers Splint Standard LT SM $19.38 Small Medium Large X Large Splint Standard RT MD Splint Extended LT XL Splint Extended RT SM $19.38 $19.38 $19.38 Thumbs X Small Thumb Orthosis RT $8.68 Thumb Orthosis LT $8.68 Small Medium Large X Large Thumb Orthosis Pediatric RT Univ $9.39 Thumb Orthosis Pediatric LT Univ $9.39 Thumb Orthosis Adult RT Univ $9.39 Thumb Orthosis Adult LT Univ $9.39 Fingers Finger Splint FROG SM (12Pk) $13.51 Finger Splint FROG MD (12Pk) $13.51 Finger Splint Stax Flesh Size #1 Finger Splint Stax Flesh Size #2 Finger Splint FROG LG (12 Pk) $13.51 Finger Splint Stax Flesh Size #3 Finger Splint Cot 1 Hole XS (12pk) $13.51 Finger Splint Stax Flesh Size #4 Finger Splint Cot 2 Hole SM (12Pk) $13.51 Finger Splint Stax Flesh Size #5 Finger Splint Cot 3 Hole MD (12 Pk) $13.51 Finger Splint Stax Flesh Size #5.5 Finger Splint Cot 4 Hole LG (12 Pk) $13.51 Finger Splint Stax Flesh Size #6 Finger Splint Protector SM (12 Pk) $13.51 Finger Splint Stax Flesh Size #7 Finger Splint Protector MD (12 Pk) $13.51 Finger Splint Stax Clear Size #1 Finger Splint Protector LG (12 Pk) $13.51 Finger Splint Baseball SM (12 Pk) $13.51 Finger Splint Baseball MD (12 Pk) $13.51 Finger Splint Baseball LG (12 Pk) $13.51 Finger Strips Hydroloc 1 2" $11.04 Finger Strips Hydroloc 3 4" $15.45 Finger Strips Hydroloc 1" $17.53 Finger Splint Stax Clear Size #2 Finger Splint Stax Clear Size #3 Finger Splint Stax Clear Size #4 Finger Splint Stax Clear Size #5 Finger Splint Stax Clear Size #5.5 Finger Splint Stax Clear Size #6 Finger Splint Stax Clear Size #7

7 Knees Knee Hinged Wrap SM Knee Hinged ROM SM $28.95 Knee Hinged Wrap MD Knee Hinged ROM MD $28.95 Knee Hinged Wrap LG Knee Hinged Wrap XL Knee Hinged ROM LG $28.95 Knee Hinged ROM XL $28.95 Knee Hinged Wrap 2X Knee Immobilzer Tri-Panel 16" $16.01 Knee Hinged Wrap 3X Knee Immobilzer Tri-Panel 20" $17.53 Knee Hinged Wrap 4X Knee Immobilzer Tri-Panel 24" $19.03 Knee Hinged Wrap 5X Knee Brace Post Op ROM 24" Knee Hinged Articulating SM Knee Brace Post Op ROM Cool 24" Knee Hinged Articulating MD Knee Brace Post Op ROM 28" Knee Hinged Articulating LG Knee Brace Post Op ROM Cool Univ Knee Hinged Articulating XL Knee Brace ROM Telescope Univ $45.72 Knee Hinged Articulating 2X Knee Brace ROM Telescope Cool Univ $45.72 Knee Hinged Articulating 3X Backs Back Support (L0626) SM $22.81 Back Brace (L0631) 8" 2X $ Back Support (L0626) MD $22.81 Back Brace (L0631) 8" 3X $ Back Support (L0626) LG $22.81 Back Brace (L0631) 10" SM $ Back Support (L0626) XL $22.81 Back Brace (L0631) 10" MD $ Back Support (L0626) 2X $22.81 Back Brace (L0631) 10" LG $ Back Brace (L0627) SM $82.70 Back Brace (L0627) MD $82.70 Back Brace (L0631) 10" XL $ Back Brace (L0631) 10" 2X $ Back Brace (L0627) LG $82.70 Back Brace (L0631) 10" 3X $ Back Brace (L0627) XL $82.70 Back Brace (L0637) SM $ Back Brace (L0627) 2X $85.30 Back Brace (L0637) MD $ Back Brace (L0627) 3X $85.30 Back Brace (L0637) LG $ Back Brace (L0631) 8" SM $ Back Brace (L0637) XL $ Back Brace (L0631) 8" MD $ Back Brace (L0637) 2X $ Back Brace (L0631) 8" LG $ Back Brace (L0637) 3X $ Back Brace (L0631) 8" XL $ For questions about your order please contact customer service