Mail In Order - Farabloc

Farabloc for Amputation Pain Management
20 Years of Pain Research at your Service!

Farabloc Development Corporation is a Canadian owned company.

Contact Info

Farabloc Home >> Order by Mail

Hear about Farabloc
Listen in as Olympian and sports medicine specialist Dr. Clement talks about Farabloc in these five different audio tracks from a Vancouver, BC radio program.

Order By Mail

Use this form to place orders on any of the products listed in our "Store" page of our web site.
Please complete the form with your information and the products quantity you want to order.

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
NOTE: No post office boxes please
*Company Name:
*Address Line 1:
Address Line 2:
*City, State, Zip:

Select the sizes and quantities of each item:

NOTE: All prices in Canadian $

Item	Description	Price	Quatity

Short Sleeve Jackets	Medium Women's Size	$ 425.00
	Small Women's Size	$ 350.00
	Small Men's Size	$ 425.00
	Large Men's Size	$ 575.00
	Medium Men's Size	$ 500.00
	Large Women's Size	$ 500.00

Long Sleeve Jackets	Large Women's Size	$ 600.00
	Medium Women's Size	$ 550.00
	Small Women's Size	$ 500.00
	Large Men's Size	$ 735.00
	Medium Men's Size	$ 655.00
	Small Men's Size	$ 575.00

Knee/Elbow Wrap	L -- #520	$ 160.00
	M -- #510	$ 140.00
	S -- #500	$ 120.00

Lower Back Belts	XS - #390	$ 135.00
	S --- #391	$ 150.00
	M --- #392	$ 165.00
	L --- #393	$ 185.00
	XL -- #394	$ 195.00
	XXL - #395	$ 215.00

Thigh Wrap	Large	$ 155.00
	Medium	$ 145.00
	Small	$ 135.00

Wraps and Blankets 10% DISCOUNTED UNTIL FEBRUARY 29 2012	B - #110	$ 76.50
	A - #105	$ 67.50
	D - #120	$ 153.00
	E - #125	$ 247.50
	C - #115	$ 144.00
	G - #130	$ 405.00
	H - #135	$ 472.50
	J - #140	$ 603.00

Faraband Wraps	A - #600	$ 30.00
Faraband Wraps	B - #605	$ 65.00

Amputee Limb Covers	XXL - #235	$ 215.00
	S ---- #215	$ 140.00
	L ---- #225	$ 170.00
	XXS - #205	$ 130.00
	M --- #220	$ 150.00
	XL --- #230	$ 190.00
	XS -- #210	$ 130.00

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