Please send orders to: Women’s Order Form FACILITY NAME (if applicable): Buck & Buck ORDER FOR (resident’s name): 3111 27th Ave. S. Unsure of sizes? Please take measurements. Seattle, WA 98144 Bust: Waist: Hips: STREET ADDRESS (no P.O. boxes please): Please send catalogs Inseam: Foot Length: CITY: STATE: ZIP: Color Preferences:______LABEL WITH ______ATTN (person to contact with questions): TITLE: NAME? OK to substitute colors? Yes No PHONE ( )

STYLE DESCRIPTION SIZE QT Y. PRICE TOTAL STYLE DESCRIPTION SIZE QT Y. PRICE TOTAL DRESSES, DUSTERS AND MUU MUUS (4-15) BLOUSES, SKIRTS AND SLACKS, CONTINUED (20-29, 64) 10A COTTON/POLY HOUSE DRESS (S-3X) 37.00 15A POLY KNIT SLACKS (S-3X) 25.00 10C POLYESTER HOUSE DRESS (S-3X) 35.00 15B POLY GABARDINE SLACKS (8-24) 28.00 10E FLORAL ZIP-FRONT KNIT DRESS (S-2X) 42.00 15BD DENIM SLACKS (8-20) 27.00 10F DOTTED ZIP FRONT KNIT DRESS (S-2X) 42.00 15BDX LARGE SIZE DENIM SLACKS (22-24) 34.00 10K LACE COLLAR KNIT DRESS (S-2X) 42.00 15C POLY/COTTON SLACKS (S-3X) 28.00 25A BUDGET SNAP BACK DUSTER (S-4X) 24.00 15D COTTON/POLY KNIT PANTS (S-2X) 20.00 25B BUDGET SHOULDER SNAP DUSTER (S-3X) 24.00 15DX LARGE SZ. COTTON/POLY KNIT PANTS (3X-5X) 24.00 25D V-NECK SNAP BACK MUU MUU (S-4X) 24.00 15E SOFT WAIST KNIT PANTS (S-3X) 27.00 25F ROUND NECK SNAP BACK MUU MUU (S-4X) 24.00 15F WRAP-AROUND SKIRT (XS-2X) 25.00 25G CUT-AWAY SNAP BACK MUU MUU (S-4X) 24.00 15G CULOTTES (S-3X) 25.00 25H HAWAIIAN SNAP BACK MUU MUU (S-2X) 38.00 15H SOLID KNIT CAPRI PANTS (S-3X) 18.00 25J CUT-AWAY SNAP BACK DUSTER (S-4X) 24.00 15V PRINTED CAPRI KNIT PANTS (S-3X) 20.00 25K ¾ SLEEVE BETTER S. BACK DUSTER (S-3X) 32.00 15Y SO-SOFT PULL-ON PANT (XS-2X) 32.00 25L CUT-AWAY BETTER S. B. DUSTER (S-3X) 32.00 65AW SHORT SLEEVE SOLID COLOR T-SHIRT (S-5X) 10.00 25P L. SLEEVE BETTER SNAP BACK DUSTER (S-3X) 32.00 65BW LONG SLEEVE SOLID COLOR T-SHIRT (S-4X) 14.00 25T LONG WRAP BACK POLY MUU MUU (M-3X) 32.00 ADAPTIVE BLOUSES AND SLACKS (24-25, 28-29) 25W PRINTED LACE COLLAR S. BACK DRESS (S-3X) 40.00 SEE PAGES 24-25, 28-29, 33-35 AND WRITE IN YOUR SELECTION BELOW 25X LONG WRAP BACK KNIT DRESS (M-2X) 46.00 25Y SO-SOFT SNAP BACK DRESS (XS-2X) 44.00 25Z POLY SNAP BACK DAY DRESS (S-2X) 30.00 SWEATERS, SHAWLS & COATS (16-19, 64) 26A PRINTED SCOOP NECK SN. BACK DRESS (S-3X) 38.00 SEE PAGE 16-19, 64 FOR ANYTHING NOT LISTED AND WRITE IN BELOW 26C SOLID SCOOP NECK SNAP BACK DRESS (S-3X) 38.00 26D S. SLEEVE KNIT SOLID S. BACK DRESS (S-3X) 35.00 26E L. SLEEVE KNIT SOLID S. BACK DRESS (S-3X) 37.00 KNIT AND VELOUR SETS (30-35) 26F L. S. COT/POLY S. B. DRESS W/ LACE COL. (S-3X) 35.00 15L SQUARE NECK KNIT SET (S-3X) 44.00 26J STRIPED BODICE SNAP BACK DRESS (S-2X) 44.00 15M LONG SLEEVE KNIT PANT SET - SOLID (S-4X) 42.00 26K DOTTED BODICE SNAP BACK DRESS (S-2X) 44.00 15N SHORT SLEEVE KNIT PANT SET - SOLID (S-4X) 40.00 26N L. S. POLY S. B. DRESS W/ LACE COLLAR (S-3X) 34.00 15P TEXTURED KNIT SET (S-2X) 45.00 26P DROP WAIST S. B. DRESS (S-2X) 36.00 15Q TEXTURED SO-SOFT SET (XS-2X) 68.00 26R L. S. LACE COL. SOLID KNIT S. B. DRESS (S-3X) 40.00 15W SHAWL COLLAR VELOUR PANT SET (S-3X) 48.00 26W LONG SHOULDER SNAP DUSTER (S-3X) 39.00 15X ZIP-FRONT VELOUR SET (S-2X) 54.00 SEE DUSTERS / MUU MUUS / FLOATS PAGES 4-7 AND WRITE IN YOUR SELECTION 14S ROUND NECK ADAPTIVE KNIT SET (S-3X) 46.00 14T SQUARE NECK WRAP BACK KNIT SET (S-3X) 48.00 14X SHAWL COLLAR ADAPTIVE VELOUR SET (S-2X) 54.00 BLOUSES, SKIRTS AND SLACKS (20-29, 64) 28R SCOOP NECK WRAP BACK VELOUR SET (S-2X) 56.00 13A SHORT SLEEVE BANDED BOTTOM TOP (S-2X) 18.00 JUMPSUITS (46, 48-51) 13B LONG SLEEVE BANDED BOTTOM TOP (S-2X) 20.00 56A BASIC SWEAT JUMPSUIT W/ COLLAR (S-XL) 46.00 13G SHORT SLEEVE POLO SHIRT (S-XL) 20.00 56B PRINTED SWEAT JUMPSUIT W/ COLLAR (S-XL) 55.00 13GX LG. SIZE SHORT SLEEVE POLO SHIRT (2X-4X) 26.00 56D SOLID SLENDER-FIT SWEAT JUMPSUIT (S-XL) 50.00 13Q SO-SOFT PULLOVER TOP (XS-2X) 28.00 56E EMBROIDERED SLENDER-FIT JUMPSUIT (S-XL) 54.00 13R SHORT SLEEVE PRINTED KNIT TOP (S-3X) 21.00 56J POLO-TOP/FLEECE PANT JUMPSUIT (S-XL) 46.00 13S LONG SLEEVE PRINTED KNIT TOP (S-3X) 23.00 56Q CAPRI PERFECT FIT SOLID JUMPSUIT (S-XL) 42.00 13T SCOOP NECK TOP (S-XL) 20.00 56R CAPRI PERFECT FIT PRINTED JUMPSUIT (S-XL) 44.00 13TX LARGE SIZE SCOOP NECK TOP (2X-4X) 26.00 56S PERFECT FIT BASIC JUMPSUIT (S-XL) 44.00 13Y SOLID KNIT TOP WITH POCKETS (S-3X) 23.00 56T PERFECT FIT PRINTED JUMPSUIT (S-XL) 46.00 13Z PRINTED KNIT ¾ SL. TOP / POCKETS (S-3X) 25.00 56TX LG. SZ. PERFECT FIT PRNTD. JUMPSUIT (2X-3X) 50.00 14A POLYESTER ROLL SLEEVE BLOUSE (S-2X) 29.00 60A KNIT BACK ZIP OVERALLS (S-XL) 42.00 14B JESS & JANE POLY TOP (S-XL) 35.00 60C TWILL BACK-ZIP OVERALLS (XS-XL) 42.00 14BX LARGE SIZE JESS & JANE POLY TOP (2X-3X) 39.00 60H SHORT SLEEVE SOLID KNIT JUMPSUIT (S-2X) 41.00 14C BLOCK PRINTED KNIT TOP (S-XL) 35.00 60HP SHORT SLV. PRINTED KNIT JUMPSUIT (S-2X) 41.00 14CX LARGE SIZE BLOCK PRINTED KNIT TOP (2X-3X) 39.00 60X LONG SLEEVE SOLID KNIT JUMPSUIT (S-2X) 43.00 14D COTTON/POLY ROLL-SLEEVE BLOUSE (S-2X) 29.00 60XP LONG SLEEVE PRINTED KNIT JUMPSUIT (S-2X) 43.00 14E S. SLEEVE BASIC POLY BLOUSE (S-3X) 19.00 56AX BASIC SWEAT JUMPSUIT (2X-3X) 54.00 14F L. SLEEVE BASIC POLY BLOUSE (S-3X) 20.00 56BX PRINTED SWEAT JUMPSUIT (2X-3X) 63.00 14G LONG SLV. PRINTED T-SHIRT W/ COLLAR (S-2X) 24.00 65FW SHORT SLEEVE BUDGET JUMPSUIT (S-XL) 36.00 14J LONG SLEEVE PRINTED T-SHIRT (S-2X) 22.00 65GW LONG SLEEVE BUDGET JUMPSUIT (S-XL) 40.00 14K SHORT SL. PRINTED T-SHIRT W/ COLLAR (S-3X) 24.00 14Q PRINTED T-SHIRT (S-3X) 22.00 SUB-TOTAL THIS PAGE PRICES GOOD UNTIL SEPTEMBER 2015 53 Women’s Order Form, cont. Phone 1-800-458-0600 FAX 1-800-317-2182 STYLE DESCRIPTION SIZE QT Y. PRICE TOTAL STYLE DESCRIPTION SIZE QT Y. PRICE TOTAL SWEATSUITS (36-41) UNDERWEAR (PANTIES AND UNDERSHIRTS) (59-62) 16A SWEAT TOP (S-XL) 16.00 SEE PAGE 59-62 FOR ITEMS NOT LISTED AND WRITE IN YOUR SELECTION 16C SWEAT TOP W/ COLLAR (S-XL) 18.00 16D PRINTED SWEAT TOP (S-3X) 27.00 21A COTTON PANTIES (5-10) 4.00 16E PRINTED SW. TOP W/ COLLAR (S-3X) 29.00 21G COTTON PANTIES (11-15) 5.00 16B SWEAT PANTS (S-XL) 16.00 22B FULL-BACK VEST (S-3X) 7.00 16F SWEATSUIT (S-XL) 32.00 22D DUTCH NECK T-SHIRT (S-3X) 7.50 16J SWEATSUIT W/ COLLAR (S-XL) 34.00 22C SNAP BACK FULL-BACK VEST (S-3X) 12.00 16K PRINTED SWEATSUIT (S-XL) 43.00 22E SNAP-BACK T-SHIRT (S-3X) 12.00 16L PRINTED SW. SUIT W/ COLLAR (S-XL) 45.00 SLIPS AND BRAS (60-63) 16M SOFT WAIST SWEATPANT (S-3X) 24.00 SEE PAGE 60-63 AND WRITE IN YOUR BRA OR SLIP SELECTION 16Q EASY FIT SWEATSUIT (S-2X) 44.00 16R EASY FIT EMBROIDERED SWEATSUIT (S-2X) 48.00 16T ZIP-FRONT SWEATSUIT (S-2X) 54.00 27A SNAP BACK SLIP (S-4X) 18.00 16AX LARGE SIZE SWEAT TOP (2X-3X) 19.00 27C CUT-AWAY SNAP BACK SLIP (S-4X) 18.00 16BX LARGE SIZE SWEATPANTS (2X-3X) 19.00 27E COTTON WRAP BACK SLIP (S-3X) 18.00 16CX LARGE SIZE SWEAT TOP WITH COLLAR (2X-3X) 21.00 SOCKS & STOCKINGS (59, 62-63, 94) 16FX LARGE SIZE SWEATSUIT (2X-4X) 38.00 23A KNEE SOCKS (ONE SIZE FITS 9-11) 3.00 16JX LARGE SIZE SWEATSUIT W/ COLLAR (2X-4X) 40.00 23C COTTON ANKLETS (9, 10, 11 OR 12) 3/12.00 16KX LARGE SIZE PRINTED SWEATSUIT (2X-3X) 46.00 23D STRETCH ANKLE SOCKS (ONE SIZE FITS 9-11) 2.50 16LX LARGE SIZE PRINTED SWSUIT W/ COL (2X-3X) 48.00 23E SUPER STRETCH SOCKS (M OR L) 4.00 80A SNAP BACK SWEAT TOP (S-3X) 28.00 23H CARE SOCKS WHITE/BLACK/TAN (M/L OR XL) 6.00 80B SNAP BACK SWEAT TOP W/ COLLAR (S-3X) 30.00 23K DRI-SOLE SOCKS BLACK/WHITE (M-L-XL) 8.50 80C PRINTED SNAP BACK SWEAT TOP (S-3X) 32.00 23M SO-SOFT SOCKS (8-13) 8.00 80D PRINTED SNAP BACK TOP W/ COLLAR (S-3X) 34.00 23P STRETCHY KNEE SOCKS (ONE SIZE FITS ALL) 9.50 80F SIDE ZIP SWEAT PANTS (S-3X) 26.00 24C THIGH-HI NYLONS (A-B, C-D, QUEEN) 5.50 70B ADAPTIVE BASIC SWEATSUIT (S-3X) 54.00 46F NON-SKID SLIPPER SOCKS (ONE SZ FITS 8-13) 6.00 70F ADAPTIVE BASIC SWEATSUIT W/ COL. (S-3X) 56.00 FOOTWEAR (66-69, 98) 70D ADAPTIVE PRINTED SWEATSUIT (S-3X) 58.00 44A BALLERINA SLIPPERS (6-10) 14.00 70H ADAPTIVE PRINTED SWEATSUIT W/ COL (S-3X) 60.00 44B SNOOZIES (5-12) 10.00 SLEEPWEAR (42-47, 51) 44C BOOTIES W/ NON-SKID SOLE (5-10) 17.00 18A LONG FLANNEL GOWN (S-3X) 26.00 44D OPEN TOE VELCRO SLIPPERS (5-10) 18.00 18B SHORT FLANNEL GOWN (S-3X) 23.00 44L FLAP FRONT VELCRO SLIPPERS (5-10) 20.00 18D KNIT PAJAMAS (S-2X) 30.00 44FW FOOT SNUGGLERS (ONE SIZE) 30.00 18F COTTON/POLY PAJAMAS (S-3X) 24.00 44K SHEARLING LINED VELCRO BOOTIES (5-10) 22.00 18G FLANNEL PAJAMAS (S-3X) 28.00 44M TERRY LINED VELCRO BOOTIES (5-10) 22.00 18H COTTON/POLY GOWN (S-3X) 24.00 44N WOMEN’S WRAP TOP SLIPPERS (6-11) 45.00 18J SO-SOFT BUTTON FRONT BED JACKET (S-3X) 42.00 44Q ACORN SPA WRAP (5-10) 42.00 18K PRINTED KNIT NIGHTSHIRT (S-L)(XL-3X) 23.00 44S NON-SKID KNIT SLIPPER SOCKS (ONE SIZE) 12.00 18L VELCRO FRONT BED JACKET (S-3X) 42.00 44X THE SOLUTION SHOE (7-15) 32.00 18S SO-SOFT ZIP FRONT ROBE (XS-2X) 44.00 44W WOMEN’S LOWRIDER (6-12) 40.00 18R WRAP BACK SO-SOFT PAJAMAS (XS-2X) 54.00 45A KEDS CANVAS SHOES (6-11) (NAVY OR TAN) 39.00 28A LONG FLANNEL OPEN BACK GOWN (S-2X) 25.00 45B WASHABLE SHOES (6-10) 28.00 28B COT/POLY OPEN BACK GOWN (S-3X) 22.00 45C WOMEN’S LEATHER WALKING SHOES (6-12) 75.00 28C KNIT OPEN BACK GOWN (S-3X) 25.00 45F TWILIGHT WALKER SHOES (6-11) 64.00 28D FLANNEL OPEN BACK GOWN (S-3X) 23.00 45G MARY JANE SHOES (6-11) 75.00 28E BUDGET COT/POLY O. B. GOWN (S-4X) 18.00 45H OLIVIA SHOE (6-11) 94.00 28F BUDGET FLANNEL O. B. GOWN (S-2X) 19.00 45J AMBULATORY EDEMA SHOES (5-15) 128.00 28J O. B. PRINTED KNIT NIGHTSHIRT (S-L)(XL-3X) 25.00 45K CONTOUR SHOE (6-13) (BLACK OR TAN) 48.00 28K SOLID BACK-ZIP SLEEPER SUIT (S-XL) 35.00 45L PULMAN SANDALS (6-15) 128.00 28KL LG. SZ. SOLID BACK-ZIP SLEEPER SUIT (2X-3X) 39.00 45P WOMEN’S E-Z FIT (6-11) 45.00 28KP PRINTED CAPRI BACK-ZIP SLEEPER SUIT (S-XL) 37.00 ACCESSORIES, THROWS, ELECTRONICS, WHEELCHAIRS, ETC. (100-107) 28L SOLID CAPRI BACK-ZIP SLEEPER SUIT (S-2X) 32.00 SEE PAGES 100-107 AND WRITE IN YOUR SELECTION 28LP PRINTED CAPRI BACK-ZIP SLEEPER SUIT (S-2X) 34.00 28M VELOUR SNAP BACK ROBE (S-3X) 39.00 28Q SO-SOFT OPEN BACK GOWN (XS-2X) 35.00 39A SEERSUCKER SHOWER ROBE (ONE SIZE) 36.00 39H TERRY SHOWER ROBE (ONE SIZE) 44.00 VISA MASTERCARD DISCOVER AM/EX 39S SO-SOFT SHOWER ROBE (ONE SIZE) 40.00 LAP ROBES, BIBS, ARM & LEG PROTECTORS (PAGES 64-65, 98-99) SEE PAGES 64-65 AND 98-99 AND WRITE IN YOUR SELECTION EXPIRES: TOTAL COST THIS PAGE TOTAL COST PREVIOUS PAGE month year STANDARD SHIPPING CHARGES* $ 8.50 *Alaska and Hawaii add $10.00 additional shipping self assisted WA State residents add 9.5% state sales tax SD dressing AD dressing SIGNATURE GRAND TOTAL $ 54 Please send orders to: Men’s Order Form FACILITY NAME (if applicable): Buck & Buck ORDER FOR (resident’s name): 3111 27th Ave. S. Unsure of sizes? Please take measurements. Seattle, WA 98144 Chest: Waist: STREET ADDRESS (no P.O. boxes please): Please send catalogs Inseam: Foot Length: CITY: STATE: ZIP: Color Preferences:______LABEL WITH ______ATTN (person to contact if we have a question): TITLE: NAME? OK to substitute colors? Yes No PHONE ( )

STYLE DESCRIPTION SIZE QT Y. PRICE TOTAL STYLE DESCRIPTION SIZE QT Y. PRICE TOTAL SHIRTS (70-78) SWEATERS, JACKETS AND PONCHOS (80-81, 83) 29A SHORT SLEEVE SPORT SHIRT (M-4X) 24.00 31H CABLE CARDIGAN WITH POCKETS (M-2X) 32.00 29B LONG SLEEVE SPORT SHIRT (M-4X) 26.00 31J BASIC CARDIGAN WITH POCKETS (M-2X) 28.00 29C FLANNEL SHIRT (M-2X) 26.00 32B FLEECE LINED JACKET (M-3X) 52.00 29D SHORT SLEEVE POLO SHIRT (S-3X) 26.00 32C ZIP-FRONT FLEECE JACKET (S-2X) 28.00 29E LONG SLEEVE POLO SHIRT (S-3X) 30.00 32D SO-SOFT ZIP-FRONT JACKET (XS-2X) 36.00 29R SHORT SLV. BANDED BOTTOM SHIRT (M-2X) 32.00 33J CARDIGAN SWEAT TOP (ONE SIZE) 29.00 29S LONG SLV. BANDED BOTTOM SHIRT (M-2X) 36.00 33K ZIP FRONT HOODIE (S-2X) 42.00 29F SHORT SLEEVE WESTERN SHIRT (M-2X) 24.00 39GM RAINPROOF FLEECE LINED PONCHO (O. S.) 69.00 29G LONG SLEEVE WESTERN SHIRT (M-2X) 26.00 39PM FLEECE PONCHO (ONE SIZE) 36.00 29H SHORT SLEEVE DRESS SHIRT (M-2X) 24.00 SWEATSUITS AND T-SHIRTS (82-85, 89) 29J LONG SLEEVE DRESS SHIRT (M-2X) 26.00 16AM SWEAT TOP (S-XL) 16.00 29K LONG SLEEVE DENIM SHIRT (S-3X) 26.00 16DM PRINTED SWEAT TOP (S-3X) 27.00 29KS SHORT SLEEVE DENIM SHIRT (S-3X) 22.00 16BD SWEAT PANTS (S-XL) 16.00 29N LONG SLEEVE TWILL SHIRT (S-2X) 30.00 16FM SWEATSUIT (S-XL) 32.00 29NS SHORT SLEEVE TWILL SHIRT (S-2X) 28.00 16KM PRINTED SWEATSUIT (S-XL) 43.00 29Z SHORT SLV. SNAP BACK SPORT SHIRT (M-4X) 31.00 16AXM LG SIZE SWEAT TOP (2X-3X) 19.00 29W LONG SLV. SNAP BACK SPORT SHIRT (M-4X) 33.00 16BXM LG SIZE SWEAT PANTS (2X-3X) 19.00 29X FLANNEL SNAP BACK SHIRT (M-2X) 33.00 16FXM LG SIZE SWEATSUIT (2X-4X) 38.00 29T LG. SLV. VELCRO FRONT SPORT SHIRT (M-4X) 36.00 16KXM LG SIZE PRINTED SWEATSUIT (2X-3X) 46.00 29V SH. SLV. VELCRO FRONT SPORT SHIRT (M-4X) 34.00 16P OPEN CUFF SWEATPANTS (S-2X) 22.00 31A SHORT SLV. SNAP BACK POLO SHIRT (M-2X) 36.00 29M SHORT SLEEVE PRINTED T-SHIRT (S-3X) 21.00 31C LONG SLV. SNAP BACK POLO SHIRT (M-2X) 40.00 29Q LONG SLEEVE PRINTED T-SHIRT (S-3X) 26.00 31L SH. SLV. VELCRO FRONT TWILL SHIRT (S-2X) 38.00 65A SHORT SLEEVE COLORED T-SHIRT (S-5X) 10.00 31M LG SLV. VELCRO FRONT TWILL SHIRT (S-2X) 40.00 65B LONG SLEEVE T-SHIRT (S-4X) 14.00 31N VELCRO FRONT FLANNEL SHIRT (M-2X) 36.00 80AM SNAP BACK SWEAT TOP (S-3X) 28.00 31P SH. SLV. VELCRO FRONT DRESS SHIRT (M-2X) 34.00 80CM PRINTED SNAP BACK SWEAT TOP (S-3X) 32.00 31R LG. SLV. VELCRO FRONT DRESS SHIRT (M-2X) 36.00 80FM SIDE-ZIP SWEAT PANTS (S-3X) 26.00 31S SH. SLV. VELCRO FRT. GINGHAM SHIRT (S-2X) 40.00 70BM BASIC ADAPTIVE SWEATSUIT (S-3X) 54.00 31T LG. SLV. VELCRO FRT. GINGHAM SHIRT (S-2X) 42.00 70DM PRINTED ADAPTIVE SWEATSUIT (S-3X) 58.00 31V SHORT SLV. VELCRO FRT. DENIM SHIRT (S-3X) 32.00 65C S. S. SNAP BACK SOLID T-SHIRT (S-5X) 17.00 31W LONG SLV. VELCRO FRT. DENIM SHIRT (S-3X) 36.00 65D L. S. SNAP BACK SOLID T-SHIRT (S-2X) 21.00 PANTS (72-79) 29P S. S. SNAP BACK PRINTED T-SHIRT (S-3X) 28.00 30B COT/POLY TWILL PANTS (30-44) 30.00 29Y LG. SLV. SNAP BACK PRINTED T-SHIRT (S-3X) 33.00 30C POLY DRESS SLACKS (34-44) 40.00 JUMPSUITS (86-89) 30Q ZIP-FLY PUTTER PANTS (29-43) 38.00 55A BASIC SWEAT JUMPSUIT (S-XL) 42.00 30QX LARGE SIZE ZIP-FLY PUTTER PANTS (44-55) 42.00 55AX LARGE SIZE BASIC SWEAT JUMPSUIT (2X-3X) 48.00 30G CORDUROY PUTTER PANTS (32-47) 52.00 55F S.S. POLO BACK-ZIP JUMPSUIT (S-XL) 49.00 30N TWILL PUTTER PANTS (28-43) 38.00 55FX LRG. SZ. S.S. POLO BACK-ZIP JUMPSUIT (2X-3X) 59.00 30NX LARGE SIZE TWILL PUTTER PANTS (44-55) 42.00 55H L.S. POLO BACK-ZIP JUMPSUIT (S-XL) 52.00 30ND DENIM PUTTER PANTS (32-43) 40.00 65F SHORT SL. BASIC T-TOP JUMPSUIT (S-XL) 36.00 30NDX LARGE SIZE DENIM PUTTER PANTS (44-51) 44.00 65G LONG SL. BASIC T-TOP JUMPSUIT (S-XL) 40.00 15YM SO-SOFT PULL-ON PANTS (XS-2X) 32.00 60E TWILL BACK-ZIP JUMPSUIT (M-2X) 48.00 16G LIGHT WEIGHT KNIT PANTS (S-3X) 30.00 37S SOLID BACK-ZIP SLEEPSUIT (S-2X) 44.00 30H LIGHT WEIGHT KNIT SHORTS (S-3X) 18.00 37T KNICKER BACK ZIP SLEEPSUIT (S-2X) 36.00 30K RELAXED FIT JEANS (32-44) 32.00 SLEEPWEAR (88-89) 30A MEN’S SIDE-ZIP KNIT PANT (S-XL) 32.00 37B FLANNEL P. J.’S (BUTTON FRONT) (S-XL) 26.00 30AX LRG. SIZE MEN’S SIDE-ZIP KNIT PANT (2X-3X) 37.00 37BX LG SIZE FLANNEL P.J.’S (2X-3X) 32.00 30D VELCRO FLY TWILL PUTTER PANTS (28-43) 38.00 37C COT/POLY P. J.’S (BUTTON FRONT) (S-3X) 24.00 30DX LG. SIZE VELCRO FLY TWILL PANTS (44-55) 44.00 37E FLANNEL NIGHTSHIRT (S-3X) 34.00 30DZ VELCRO FLY DENIM PANTS (28-47) 44.00 37F COT/POLY NIGHTSHIRT (S-3X) 30.00 30E VELCRO FLY CORDUROY PANTS (32-47) 56.00 37K FLANNEL PAJAMA BOTTOMS (S-XL) 18.00 30F STANDARD WST. VELCRO FLY TWILLS (30-44) 40.00 37L COTTON PAJAMA BOTTOMS (S-4X) 18.00 39RM TWILL BACK-FLAP PANTS (S-3X) 36.00 37A OPEN BACK KNIT NIGHTSHIRT (S-3X) 34.00 40D TWILL SIDE SNAP PUTTERS PANTS (M-3X) 37.00 37N OPEN BACK FLANNEL NIGHTSHIRT (S-3X) 34.00 40GM FLEECE BACK-FLAP PANTS (S-3X) 38.00 37P OPEN BACK COT/POLY NIGHTSHIRT (S-3X) 30.00 40HM FLEECE SIDE SNAP PANTS (S-3X) 35.00 37S SOLID BACK ZIP SLEEPSUIT (S-2X) 44.00 37T KNICKER BACK ZIP SLEEPSUIT (S-2X) 36.00

PHONE 1-800-458-0600 FAX 1-800-317-2182 SUB-TOTAL THIS PAGE PRICES GOOD UNTIL SEPTEMBER 2015 55 Men’s Order Form, cont. Phone 1-800-458-0600 FAX 1-800-317-2182

STYLE DESCRIPTION SIZE QT Y. PRICE TOTAL STYLE DESCRIPTION SIZE QT Y. PRICE TOTAL BIBS, ARM/LEG PROTECTORS, SHOWER ROBES (90-91, 98-99) ELECTRONICS (102-103) 39EM SO-SOFT LAP ROBE (ONE SIZE) 23.00 52A SANSUI 24” HDTV/DVD COMBO 320.00 39AM SEERSUCKER SHOWER ROBE (ONE SIZE) 36.00 52C SAMSUNG 19” HDTV 250.00 39HM TERRY SHOWER ROBE (ONE SIZE) 44.00 52G SONY EASY READER CLOCK RADIO 32.00 39SM SO-SOFT SHOWER ROBE (ONE SIZE) 40.00 52M LA CROSSE WEATHER CLOCK 55.00 39CM SO-SOFT ARM PROTECTORS (ONE SIZE) 10.00 52S SANSUI 32” LED/HDTV 390.00 39DM SO-SOFT LEG PROTECTORS (ONE SIZE) 12.00 ROOM ACCESSORIES AND THROWS (101-102) 39KM POLAR FLEECE ARM PROTS. (ONE SIZE) 14.00 41L SKYFLIGHT MOBILES 30.00 39KLM POLAR FLEECE LEG PROTECTORS (ONE SIZE) 16.00 42G STUFFED ANIMALS 25.00 40J HAND PROTECTORS (ONE SIZE) 6.00 42P GIANT STUFFED ANIMAL (DOG OR CAT) 48.00 40PM SWEAT FLEECE ARM PROTS. (ONE SIZE) 8.00 804K WELCOME TO THE LAKE THROW 49.00 40QM SWEAT FLEECE LEG PROTECTORS (ONE SIZE) 10.00 804L STANDING PROUD THROW 49.00 40XM 3 LAYER BIB (ONE SIZE) 23.00 804M AUTUMN TRANQUILITY THROW 49.00 40YM TERRY WATERPROOF BIB (ONE SIZE) 28.00 805Q AMERICAN MAJESTY THROW 49.00 39LM SMOKER’S BIB 45.00 PERSONAL ACCESSORIES (100) UNDERWEAR (92-93) 38H CABBY HAT (S-M) OR (L-XL) 15.00 34A BRIEFS (28-42) 3/9.00 38K CORDLESS RAZOR 75.00 34B BRIEFS (44-50) 3/13.00 38J BASEBALL CAP 5.00 34C BOXER SHORTS (30-44) (EACH) 5.00 38L NORELCO NOSE/EAR TRIMMER 20.00 34D BOXER SHORTS (46-48) (EACH) 6.50 49D MEN’S TIMEX GOLD TONE WATCH 54.00 34E INCONTINENT BRIEF (S-2X) 26.00 49E MEN’S TIMEX SILVER TONE WATCH 52.00 34G PROTECTIVE BRIEF (M-XL) 29.00 49F MEN’S TALKING WATCH 58.00 35A V-NECK UNDERSHIRTS (S-XL) 3/15.00 38B LEATHER BELT (30-54) 18.00 35B V-NECK UNDERSHIRTS (2X-3X) 3/19.00 38A CLIP-ON SUSPENDERS 12.00 35C CREW NECK UNDERSHIRTS (S-XL) 3/15.00 38C ZIP TIE (SOLID OR PRINT) 19.00 35D CREW NECK UNDERSHIRTS (2X-3X) 3/19.00 38E WHITE HANDKERCHIEF 3/3.00 35G ATHLETIC UNDERSHIRTS (S-XL) 3/12.00 WHEELCHAIR/WALKER ACCESSORIES (104-107) 35E MEN’S ONESIE (BLACK/WHITE) (S-XL) 22.00 50A SIDEKICK WHEELCHAIR POUCH 20.00 35R V-NECK SNAP BACK UNDERSHIRT (S-L) 12.00 50B ENVELOPE WHEELCHAIR POUCH 13.00 35RX V-NECK SNAP BACK UNDERSHIRT (XL-3X) 14.00 50C BED RAIL BUDDY 24.00 35S CREW-NECK SNAP-BACK T-SHIRT (S-L) 12.00 50E URINARY DRAINAGE BAG 29.00 35SX CREW-NECK SNAP-BACK T-SHIRT (XL-3X) 14.00 50F WHEELCHAIR DAY PACK 44.00 SOCKS (92-94) 50G STOWAWAY WHEELCHAIR PACK 26.00 36A ACRYLIC SOCKS (10-13) 6.00 50K DOUBLE-SIDED WALKER BAG 29.00 36B TUBE SOCKS (10-15) 2.00 50H SHEARLING WALKER GRIPS 17.00 36D KNEE-HI TUBE SOCKS (10-17) 8.00 50L WHEELCHAIR ARM WRAP (LONG) 20.00 36E CREW SOCKS (10-13) 2.00 50LS WHEELCHAIR ARM WRAP (SHORT) 20.00 36F STRETCHY KNEE SOCKS (10-15) 10.00 50M JUST RIGHT ORGANIZER 31.00 23MM SO-SOFT SOCKS (10-13) 8.00 50N FOLDING CUP HOLDER 20.00 23E SUPER STRETCH SOCKS (M OR L) 4.00 50P BASIC CUP HOLDER 10.00 23H CARE SOCKS (WHITE/TAN/BLK) (M/L OR XL) 6.00 50Q 3” COCCYX GEL FOAM WHEELCHAIR CUSHION 49.00 23K DRI-SOLE SOCKS (WHITE/BLACK) (M-L-XL) 8.50 50R FLEECE COVERED FOAM CUSHION 39.00 23J DIABETIC THERMAL SOCKS (M-L-XL) 12.00 50S NOVA LIGHT WEIGHT TRANSPORT CHAIR 199.00 23R DIABETIC QUARTER SOCKS (M-L-XL) 9.00 50T WALKER FLASHLIGHT 15.00 23S DIABETIC CREW SOCKS (M-L-XL) 10.00 50V 2” GEL FOAM WHEELCHAIR CUSHION 45.00 46F NON-SKID SLIPPER SOCKS (ONE SIZE) 6.00 50W NOVA LIGHT WEIGHT WHEELCHAIR 299.00 FOOTWEAR (95-97, 99) 46B ACORN MOCCASIN (7½-15) 42.00 46C SHEARLING LINED VELCRO BOOTIES (7-12½) 22.00 TOTAL COST THIS PAGE 46D TERRY LINED VELCRO BOOTIES (7-12½) 22.00 TOTAL COST PREVIOUS PAGE 46G MEN’S WRAP TOP (7-14) 45.00 STANDARD SHIPPING CHARGES* $ 8.50 46H REGAL BY FOAMTREAD (7-14) 38.00 *Alaska and Hawaii add $10.00 additional shipping 46J OPEN TOE VELCRO SLIPPERS (7-13) 22.00 WA State residents add 9.5% state sales tax 46L LOWRIDER (7-14) 40.00 46R TERRY VELCRO SLIPPERS (8-12½) 22.00 GRAND TOTAL $ 46T MEN’S E-Z FIT (7-14) 46.00 47A PROPET LEATHER WALKING SHOES (7-14) 78.00 VISA MASTERCARD DISCOVER AM/EX 47C WASHABLE SHOES (7-13) 28.00 47G MEN’S PED WALKER 3 (8-15) 98.00 45J AMBULATORY EDEMA SHOES (5-15) 128.00 EXPIRES: 45L PULMAN SANDALS (5-15) 128.00 44X THE SOLUTION SHOE (6-15) 32.00 month year SIGNATURE 44FM FOOT SNUGGLERS (ONE SIZE) 30.00 45K CONTOUR SHOE (5-13) (BLACK OR TAN) 48.00 self assisted 46F NON-SKID SLIPPER SOCKS (ONE SIZE) 6.00 SD dressing AD dressing Thank you for your order! 56 PHONE 1-800-458-0600 FAX 1-800-317-2182