Thank you! © 2018 Cascade Dafo, Inc. All rights reserved. 53 Cascade Dafo, Inc. 1360 Sunset Ave, Ferndale, WA 98248 ph 800.848.7332 intl +00 1 360 543 9306 fax 855.543.0092 www.cascadedafo.com SmartKnit ® Interface Socks Seamless, wrinkle-free socks for use with Ankle Foot Orthoses (AFO) • No seams mean no rubbing. • Heel-free design to ensure a perfect fit. • Wicking fibers keep feet and legs comfortably cool. • Knit with CoolMax ® , Polyester or X-Static ® –The Silver Fiber ® . • Anti-microbial fibers inhibit odor. Order SmartKnit Socks-AFO Rev.13 (June 2017) SmartKnit is a registered trademark of Knit-Rite, Inc. Billing Name/Facility: Street address: City: State: Zip: Phone: Email: Shipping c Same as Billing Information Street address: City: State: Zip: Phone: Email: Payment Options c Facility Billing Account Name / #: PO #: c C.C. On File OR c Direct Purchase c Check Attached Credit card: c Visa c Mastercard c AMEX c Discover Cardholder’s phone: Credit Card N o : Exact name on card: Exp. Date: V- Code: AFO AFO Sock Size Dimensions (unstretched) Style Color (indicate qty for each color checked) Quantity Total Polyester X-Static CoolMax AFO Infant 2 x 9 in. Fits shoe size: up to child’s 1 standard c ___ white c ___ grey c ___ black c ___ pink c ___ purple c ___ navy toe sock c ___ white AFO Child Small 2.25 x 11 in. Fits shoe size: child’s 1.5 – 7 standard c ___ white c ___ charcoal c ___ grey c ___ black c ___ pink c ___ purple c ___ navy toe sock c ___ white AFO Child Regular 2.5 x 14 in. Fits shoe size: child’s 7.5 – 13 standard c ___ white c ___ charcoal c ___ grey c ___ black c ___ pink c ___ purple c ___ navy toe sock c ___ white AFO Adult Small 3 x 18 in. Fits shoe size: child’s 13.5 + up to women’s 9 up to men’s 8 standard c ___ white c ___ charcoal c ___ grey c ___ black toe sock c ___ white AFO Adult Regular 3.5 x 20 in. Fits shoe size: women’s 9.5 + men’s 8.5 + standard c ___ white c ___ charcoal c ___ grey c ___ black toe sock c ___ white For current prices and shipping information, please call our Customer Service department: 800.848.7332