AMC

AMC- Angus Marketing Company
ANGUS MARKETING COMPANY
7403 E 6th Ave.
Suite 1
Scottsdale, AZ 85251
Toll Free: 1-800-528-2825
Fax: 1-480-348-9241
admin@angusmarketing
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Angus Marketing CompanyORDER FORM


How to Order:

  • Only Medical Professionals may order our products! Medical practice, physician name or Tax ID # is required.
    If you are an individual, and are not making an order for a physician or medical practice, please visit our consumer website at www.FootExpress.com.

    Medical Professionals! Get 10% OFF all orders placed ONLINE (discount applied and totals calculated during order fulfillment)
  • Fill out this form and press the SUBMIT button at the bottom to send us your order electronically.
    OR
  • Print this form and fax or mail your order to us, using the information below:
       Angus Marketing Co.
       7403 E 6th Ave., Suite 1
       Scottsdale, AZ 85251
       Fax: 1-480-348-9241
    OR
  • Call 1-800-528-2825 to place your order by phone.
  • We will contact you to confirm your order.

    • Item Description
    101 Jacoby Bunion Splint®
    Single Unit: $11.50
    Dozen: $10.25
    2 Dozen: $9.25
    3 Dozen: $8.50
    4 Dozen +: $7.75

    (Call for orders of more than 3 items)
    Item Quantity Size/Options Subtotal
    1 Size (S/M/L):
    		 Left or Right:
    2 Size (S/M/L):
    		 Left or Right:
    3 Size (S/M/L):
    		 Left or Right:
    102 Jacoby Bunion Brace®
    Single Unit: $13.50
    Dozen: $12.25
    2 Dozen: $11.25
    3 Dozen: $10.75
    4 Dozen + : $10.00
    (Call for orders of more than 3 items)
    Item Quantity Size/Options Subtotal
    1 Size (S/M/L):
    		 Left or Right:
    2 Size (S/M/L):
    		 Left or Right:
    3 Size (S/M/L):
    		 Left or Right:
    206 Jacoby Digit-Aid™ Mid-Toe 3-Pack
    Single 3-Pack: $5.00
    Dozen 3-Packs: $4.75
    2 Dozen 3-Packs: $4.50
    3 Dozen 3-Packs: $4.25
    4 Dozen + 3-Packs: $4.00

    (Call for orders of more than 3 items)
    Item Quantity Size/Options Subtotal
    1 One Size
    201 Jacoby Digit-Aid™ Mid-Toe 12-Pack
    Single 12-Pack: $16.00
    Dozen 12-Packs: $15.25
    2 Dozen 12-Packs: $14.50
    3 Dozen 12-Packs: $13.75
    4 Dozen + 12-Packs: $12.75

    (Call for orders of more than 3 items)
    Item Quantity Size/Options Subtotal
    1 One Size
    207 Jacoby Digit-Aid™ 5th-Toe 4-Pack
    Single 4-Pack: $6.00
    Dozen 4-Packs: $5.75
    2 Dozen 4-Packs: $5.50
    3 Dozen 4-Packs: $5.00
    4 Dozen + 4-Packs: $4.50

    (Call for orders of more than 3 items)
    Item Quantity Size/Options Subtotal
    1 One Size
    210 Jacoby Digit-Aid™ 5th-Toe 12-Pack
    Single 12-Pack: $16.00
    Dozen 12-Packs: $14.00
    2 Dozen 12-Packs: $13.00
    3 Dozen 12-Packs: $12.00
    4 Dozen + 12-Packs: $11.00

    (Call for orders of more than 3 items)
    Item Quantity Size/Options Subtotal
    1 One Size
    504 Angsko™ Pac-A-Derm System
    Single Unit: $11.00
    Dozen: $10.00/per
    2 Dozen: $9.00/per
    3 Dozen: $8.50/per
    4 Dozen: $8.25/per
    Item Quantity Size/Options Subtotal
    1 One Size
    502 Angsko™ Pac-A-Derm Heel Wraps (2)
    Unit: $7.00
    Dozen: $6.50/per
    2 Dozen: $6.00/per
    3 Dozen: $5.50/per
    4 Dozen + : $5.25/per
    Item Quantity Size/Options Subtotal
    1 One Size
    503 Angsko™ Pac-A-Derm Cream (1 Oz.)
    1 oz Unit: $5.00
    Dozen: $4.75/per
    2 Dozen: $4.50/per
    3 Dozen: $4.25/per
    4 Dozen + : $4.00/per
    Item Quantity Size/Options Subtotal
    1 One Size
    505 Angsko™ Pac-A-Derm Cream (4 Oz.)
    4 oz Unit: $8.00
    Dozen: $7.50/per
    2 Dozen: $7.00/per
    3 Dozen: $6.50/per
    4 Dozen + : $6.00
    Item Quantity Size/Options Subtotal
    1 One Size
    506 Angsko™ Pac-A-Derm Callus Control Scrub (4 Oz.)
    4 oz Unit: $8.00
    Dozen: $7.50/per
    2 Dozen: $7.00/per
    3 Dozen: $6.50/per
    4 Dozen + : $6.00
    Item Quantity Size/Options Subtotal
    1 One Size
    509 Neuro-Eze Neuropathy Cream
    75 ml Unit: $16.00
    Dozen: $14.50/per
    2 Dozen: $13.50/per
    3 Dozen: $12.50
    4 Dozen + : $12.00
    Item Quantity Size/Options Subtotal
    1 One Size
    510 TNT Cream
    Single Unit: $22.50
    12+: $20.50/per
    24+: $18.50/per
    36+: $17.50/per
    48+: $16.95/per
    Item Quantity Size/Options Subtotal
    1 One Size
    603 Chevron Cast Walking Boot
    Single Unit: $50.00
    Dozen: $46.00/per
    2 Dozen: $42.00/per
    3 Dozen: $40.00/per
    4 Dozen + : $38.00/per
    Item Quantity Size/Options Subtotal
    1 Men's/Women's:
    		 Shoe Size:
    2 Men's/Women's:
    		 Shoe Size:
    3 Men's/Women's:
    		 Shoe Size:
    606 Post-Op Stabilizing Shoe
    Single Unit: $7.95
    Dozen: $6.95
    2 Dozen: $6.05
    3 Dozen: $5.35
    4 Dozen + : $4.95
    Item Quantity Size/Options Subtotal
    1 Men's/Women's:
    		 Size:
    2 Men's/Women's:
    		 Size:
    3 Men's/Women's:
    		 Size:
    735 Pro-Tec Night Splint
    Single Unit: $40.95
    Dozen: $39.95
    2 Dozen: $38.95
    3 Dozen: $37.95
    4 Dozen + : $36.95
    Item Quantity Size/Options Subtotal
    1 Size:
    2 Size:
    3 Size:
    741 PF Night Splint
    Single Unit: $40.95
    Dozen: $39.95/each
    2 Dozen: $38.95/each
    3 Dozen: $37.95/each
    4 Dozen + : $36.95
    Item Quantity Size/Options Subtotal
    1 Size:
    2 Size:
    3 Size:
    TOTAL  
    SHIPPING INFORMATION
    Title & Name
    Practice Name
    Tax ID#:
    Address
    City
    State
    Zip Code
    Phone
    Email
    PAYMENT INFORMATION
       Please select one:
    Call me for payment information
    Bill my account

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ANGUS MARKETING COMPANY
7403 E 6th Ave.
Suite 1
Scottsdale, AZ 85251
Toll Free: 1-800-528-2825
Fax: 1-480-348-9241
Email: admin@angusmarketing