Use this form to place orders on any of the products listed on the "Our Products" page of our web site.

Follow these steps to order by mail:
  • Click on "PRINT VIEW" in the upper right corner of this page (it will open a new browser window)
  • Print this form
  • Complete the form specifying product and quantity
  • Include complete payment (product(s) total, S & H charges, and sales tax for WA residents - see below)
  • Send to the address specified at the bottom of the form
Note: Please list a company name if this is a business purchase, as well as a street address for shipping purposes. Your personal or business information will be used for internal use only and will not be shared with other organizations or individuals.

Person Ordering
 
Full Name 
Phone # + Ext. 
Email Address 
 
Shipping Address
 (no post office boxes please)
Company Name 
Address Line 1 
Address Line 2 
City, State, Zip 

Select the sizes and quantities of each item:
 
ITEMDESCRIPTIONPRICEQUANT
 
Custom Wraps & Blankets BBL11105 :: 54" x 75" - Fits Regular Size Bed $410.00
Custom Wraps & Blankets BBL11110 :: 60" x 80" - Fits Queen Size Bed $480.00
Custom Wraps & Blankets BBL11115 :: 76" x 80" - Fits King Size Bed $610.00
Limb Covers (double thickness) LCV12205 :: XXS - A8" x B12" x C8" (upper arm & lower leg) $110.00
Limb Covers (double thickness) LCV12210 :: XS - A9" x B14" x C8" (upper arm & lower leg) $120.00
Limb Covers (double thickness) LCV12215 :: S - A12" x B15" x C8" (upper arm & lower leg) $130.00
Limb Covers (double thickness) LCV12220 :: M - A12" x B19" x C9" (upper leg) $136.00
Limb Covers (double thickness) LCV12225 :: L - A13" x B21" x C12" (upper leg) $155.00
Limb Covers (double thickness) LCV12230 :: XL - A13" x B22" x C11" (upper leg) $172.00
Limb Covers (double thickness) LCV12235 :: XXL - A13" x B25" x C11" (upper leg) $195.00
Tendinitis Glove (short finger GLV13380 :: S - 12" len x 6" hand width x 10" upr arm circ $120.00
Tendinitis Glove (short finger GLV13385 :: M - 12" len x 7" hand width x 12" upr arm circ $135.00
Tendinitis Glove (short finger GLV13390 :: L - 14" len x 8" hand width x 14" upr arm circ $145.00
Mitts (double thickness) MTT13350 :: S - 12" len x 4.5" hand width x 10" upr arm circ $110.00
Mitts (double thickness) MTT13355 :: M - 12" len x 5.5" hand width x 11" upr arm circ $125.00
Mitts (double thickness) MTT13360 :: L - 14" len x 6" hand width x 13" upr arm circ $135.00
Socks (double thickness) SCK13305 :: Shoe Size 7 1/2 $130.00
Socks (double thickness) SCK13310 :: Shoe Size 8 1/2 $140.00
Socks (double thickness) SCK13315 :: Shoe Size 9 1/2 $155.00
Socks (double thickness) SCK13320 :: Shoe Size 10 1/2 $155.00
Cummerbund (Belts for lower ba CBB13390 :: XS 29" x 33" x 7.5" $125.00
Cummerbund (Belts for lower ba CBB13391 :: S 33" x 36" x 8" $136.00
Cummerbund (Belts for lower ba CBB13392 :: M 36" x 39" x 8.5" $152.00
Cummerbund (Belts for lower ba CBB13393 :: L 39" x 42" x 9" $168.00
Cummerbund (Belts for lower ba CBB13394 :: XL 42" x 46" x 10" $180.00
Cummerbund (Belts for lower ba CBB13395 :: XXL 46" x 52" x 10" $195.00
Wraps & Blankets WBL11105 :: Size D - 12" x 30" $70.00
Wraps & Blankets WBL11110 :: Size C - 20" x 20" $82.00
Wraps & Blankets WBL11112 :: 24" x 24" $110.00
Wraps & Blankets WBL11115 :: Size B - 36" x 30" $140.00
Wraps & Blankets WBL11120 :: Size A - 36" x 60" $250.00

Send your order to:
ABC Health Solutions
14008 SE 238th Lane
Kent, WA  98042

Shipping Charges and Taxes
All mail-in orders are subject to a $7.00 shipping and handling charge. Shipping and handling charge is to the continental U.S. only. Orders to Alaska, Hawaii, and all foreign orders will incur additional shipping charges. Washington state residents add 9.0% sales tax.

Return Policy:
Because of production costs there will be a 15% restocking fee on all returns unless there were sewing defects or shipping errors. All blankets & other items will require an inspection & must be clean on return. Custom-made items are non-refundable.

Consumer Privacy:
Your personal information will be used for internal use only. We do not sell or share your information.

Reminder:
Please print this form (use "PRINT VIEW" in upper right) and note each item (by quantity) you wish to purchase. Upon completion, send a check or money order made payable to "ABC Health Solutions" to the address above. Payment must include our shipping and handling charge as noted above, and any applicable Washington state sales tax.