Order   HUG-A-LEG (tm) may be purchased on Advance Order. Please call before placing a large order for the details on price. ( print and fax form below ) Faxing an initial Order inquiry suggested - fax # : 1-203-256-1330 Your Name_______________________________________ Company Name___________________________________ Street address____________________________________ Company town/city________________________________ Zip code_________________________________________ Country_________________________________________ Email___________________________________________ Phone___________________________________________ Fax_____________________________________________ Total Number of Units to Order____________________ Estimated Total Amount to Spend__________________ Banking Institution ______________________________ signature______________________________________ todays date____________________________________ HUG-A-LEG is a TM of Medical Industries of America, LLC 1735 Post Rd -unit 6 Fairfield, CT. 06824 Phone 1-866-DOC-3456 U.S. Patents # 5,944,677 & 5,042,508 www.hug-a-leg.com

This web site is not intended to replace the advice given by an individuals medical doctor. This content is intended to be informational - Your Doctor should oversee your care. HUG-A-LEG is a trademark of the Medical Industries of America, LLC which assumes no obligation or liability for any advice furnished by it, or for results obtained with respect to this product.

web site updated 10/01/2004

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