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 (4-13, 42-43) BLOUSES, SKIRTS AND SLACKS, CONTINUED (20-30, 68) 10A COTTON/POLY HOUSE DRESS (S-3X) 37.00 15A POLY KNIT SLACKS (S-3X) 25.00 10E FLORAL ZIP-FRONT KNIT DRESS (S-2X) 42.00 15B POLY GABARDINE SLACKS (8-24) 28.00 10F DOTTED ZIP FRONT KNIT DRESS (S-2X) 42.00 15BD DENIM SLACKS (8-20) 27.00 25A BUDGET SNAP BACK DUSTER (S-4X) 24.00 15BDX LARGE SIZE DENIM SLACKS (22-24) 34.00 25B BUDGET SHOULDER SNAP DUSTER (S-3X) 24.00 15C POLY/COTTON SLACKS (S-3X) 28.00 25D V-NECK SNAP BACK MUU MUU (S-4X) 24.00 15D COTTON/POLY KNIT PANTS (S-2X) 20.00 25F ROUND NECK SNAP BACK MUU MUU (S-4X) 24.00 15DX LARGE SZ. COTTON/POLY KNIT PANTS (3X-5X) 24.00 25G CUT-AWAY SNAP BACK MUU MUU (S-4X) 24.00 15E SOFT WAIST KNIT PANTS (S-3X) 27.00 25H HAWAIIAN SNAP BACK MUU MUU (S-2X) 38.00 15F WRAP-AROUND SKIRT (XS-2X) 25.00 25J CUT-AWAY SNAP BACK DUSTER (S-4X) 24.00 15G CULOTTES (S-3X) 25.00 25K ¾ SLEEVE BETTER S. BACK DUSTER (S-3X) 32.00 15H SOLID KNIT CAPRI PANTS (S-3X) 18.00 25L CUT-AWAY BETTER S. B. DUSTER (S-3X) 32.00 15V PRINTED CAPRI KNIT PANTS (S-3X) 20.00 25P L. SLEEVE BETTER SNAP BACK DUSTER (S-3X) 32.00 17P POLAR FLEECE PANTS (S-XL) 27.00 25T LONG WRAP BACK POLY MUU MUU (M-3X) 32.00 15Y SO-SOFT PULL-ON PANT (XS-2X) 32.00 25W PRINTED LACE COLLAR S. BACK DRESS (S-3X) 40.00 65AW SHORT SLEEVE SOLID COLOR T-SHIRT (S-5X) 10.00 25X LONG WRAP BACK KNIT DRESS (M-2X) 46.00 65BW LONG SLEEVE SOLID COLOR T-SHIRT (S-4X) 14.00 25Y SO-SOFT SNAP BACK DRESS (XS-2X) 44.00 ADAPTIVE BLOUSES AND SLACKS (24-25, 28-29, 33-35) 25Z POLY SNAP BACK DAY DRESS (S-2X) 30.00 SEE PAGES 24-25, 28-29, 33-35 AND WRITE IN YOUR SELECTION BELOW 26A PRINTED SCOOP NECK SN. BACK DRESS (S-3X) 38.00 26C SOLID SCOOP NECK SNAP BACK DRESS (S-3X) 38.00 26D S. SLEEVE KNIT SOLID S. BACK DRESS (S-3X) 35.00 CARDIGANS, SWEATERS, SHAWLS & COAT (14-19, 69) 26E L. SLEEVE KNIT SOLID S. BACK DRESS (S-3X) 37.00 SEE PAGE 14-19, 69 FOR ANYTHING NOT LISTED AND WRITE IN BELOW 26F L. S. COT/POLY S. B. DRESS W/ LACE COL. (S-3X) 35.00 26J STRIPED BODICE SNAP BACK DRESS (S-2X) 44.00 26K DOTTED BODICE SNAP BACK DRESS (S-2X) 44.00 KNIT AND VELOUR SETS (30-35) 26N L. S. POLY S. B. DRESS W/ LACE COLLAR (S-3X) 34.00 15L SQUARE NECK KNIT SET (S-3X) 44.00 26P DROP WAIST S. B. DRESS (S-2X) 36.00 15M LONG SLEEVE KNIT PANT SET - SOLID (S-4X) 42.00 26R L. S. LACE COL. SOLID KNIT S. B. DRESS (S-3X) 40.00 15N SHORT SLEEVE KNIT PANT SET - SOLID (S-4X) 40.00 26W LONG SHOULDER SNAP DUSTER (S-3X) 39.00 15P TEXTURED KNIT SET (S-2X) 45.00 SEE DUSTERS / MUU MUUS PAGES 4-5, 42-43 AND WRITE IN YOUR SELECTION 15R FRONT STRIPE VELOUR SET (S-2X) 48.00 15W SHAWL COLLAR VELOUR PANT SET (S-3X) 48.00 15X ZIP-FRONT VELOUR SET (S-2X) 54.00 BLOUSES, SKIRTS AND SLACKS (20-30, 68) 14S ROUND NECK ADAPTIVE KNIT SET (S-3X) 46.00 13A SHORT SLEEVE BANDED BOTTOM TOP (S-2X) 18.00 14T SQUARE NECK WRAP BACK KNIT SET (S-3X) 48.00 13B LONG SLEEVE BANDED BOTTOM TOP (S-2X) 20.00 14X SHAWL COLLAR ADAPTIVE VELOUR SET (S-2X) 54.00 13G SHORT SLEEVE POLO SHIRT (S-XL) 20.00 28R SCOOP NECK WRAP BACK VELOUR SET (S-2X) 56.00 13GX LG. SIZE SHORT SLEEVE POLO SHIRT (2X-4X) 26.00 JUMPSUITS (52-55) 13Q SO-SOFT PULLOVER TOP (XS-2X) 28.00 56A BASIC SWEAT JUMPSUIT W/ COLLAR (S-XL) 46.00 13R SHORT SLEEVE PRINTED KNIT TOP (S-3X) 21.00 56B PRINTED SWEAT JUMPSUIT W/ COLLAR (S-XL) 55.00 13S LONG SLEEVE PRINTED KNIT TOP (S-3X) 23.00 56D SOLID SLENDER-FIT SWEAT JUMPSUIT (S-XL) 50.00 13T SCOOP NECK TOP (S-XL) 20.00 56J POLO-TOP/FLEECE PANT JUMPSUIT (S-XL) 46.00 13TX LARGE SIZE SCOOP NECK TOP (2X-4X) 26.00 56Q CAPRI PERFECT FIT SOLID JUMPSUIT (S-XL) 42.00 13Y SOLID KNIT TOP WITH POCKETS (S-3X) 23.00 56R CAPRI PERFECT FIT PRINTED JUMPSUIT (S-XL) 44.00 13Z PRINTED KNIT ¾ SL. TOP / POCKETS (S-3X) 25.00 56S PERFECT FIT BASIC JUMPSUIT (S-XL) 44.00 14A POLYESTER ROLL SLEEVE BLOUSE (S-2X) 29.00 56T PERFECT FIT PRINTED JUMPSUIT (S-XL) 46.00 14B JESS & JANE POLY TOP (S-XL) 35.00 56TX LG. SZ. PERFECT FIT PRNTD. JUMPSUIT (2X-3X) 50.00 14BX LARGE SIZE JESS & JANE POLY TOP (2X-3X) 39.00 60A KNIT BACK ZIP OVERALLS (S-XL) 42.00 14C BLOCK PRINTED KNIT TOP (S-XL) 35.00 60C TWILL BACK-ZIP OVERALLS (XS-XL) 42.00 14CX LARGE SIZE BLOCK PRINTED KNIT TOP (2X-3X) 39.00 56AX BASIC SWEAT JUMPSUIT (2X-3X) 54.00 14D COTTON/POLY ROLL-SLEEVE BLOUSE (S-2X) 29.00 56BX PRINTED SWEAT JUMPSUIT (2X-3X) 63.00 14E S. SLEEVE BASIC POLY BLOUSE (S-3X) 19.00 65FW SHORT SLEEVE BUDGET JUMPSUIT (S-XL) 36.00 14F L. SLEEVE BASIC POLY BLOUSE (S-3X) 20.00 65GW LONG SLEEVE BUDGET JUMPSUIT (S-XL) 40.00 14G LONG SLV. PRINTED T-SHIRT W/ COLLAR (S-2X) 24.00 14J LONG SLEEVE PRINTED T-SHIRT (S-2X) 22.00 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 2016

57 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) LAP ROBES, BIBS, ARM & LEG PROTECTORS (PAGES 68-69, 106-107) 16A SWEAT TOP (S-XL) 16.00 SEE PAGES 68-69 AND 106-107 AND WRITE IN YOUR SELECTION 16C SWEAT TOP W/ COLLAR (S-XL) 18.00 16D PRINTED SWEAT TOP (S-3X) 27.00 16E PRINTED SW. TOP W/ COLLAR (S-3X) 29.00 UNDERWEAR (PANTIES AND UNDERSHIRTS) (63-66) 16B SWEAT PANTS (S-XL) 16.00 SEE PAGE 63-66 FOR ITEMS NOT LISTED AND WRITE IN YOUR SELECTION 16F SWEATSUIT (S-XL) 32.00 16J SWEATSUIT W/ COLLAR (S-XL) 34.00 21A COTTON PANTIES (5-10) 4.00 16K PRINTED SWEATSUIT (S-XL) 43.00 21G COTTON PANTIES (11-15) 5.00 16L PRINTED SW. SUIT W/ COLLAR (S-XL) 45.00 22B FULL-BACK VEST (S-3X) 7.00 16M SOFT WAIST SWEATPANT (S-3X) 24.00 22D DUTCH NECK T-SHIRT (S-3X) 7.50 16Q EASY FIT SWEATSUIT (S-2X) 44.00 22C SNAP BACK FULL-BACK VEST (S-3X) 12.00 16R EASY FIT EMBROIDERED SWEATSUIT (S-2X) 48.00 22E SNAP-BACK T-SHIRT (S-3X) 12.00 16T ZIP-FRONT SWEATSUIT (S-2X) 54.00 SLIPS AND BRAS (64-66) 16AX LARGE SIZE SWEAT TOP (2X-3X) 19.00 SEE PAGE 64-66 AND WRITE IN YOUR BRA OR SLIP SELECTION 16BX LARGE SIZE SWEATPANTS (2X-3X) 19.00 16CX LARGE SIZE SWEAT TOP WITH COLLAR (2X-3X) 21.00 16FX LARGE SIZE SWEATSUIT (2X-4X) 38.00 SOCKS & STOCKINGS (63, 66-67) 16JX LARGE SIZE SWEATSUIT W/ COLLAR (2X-4X) 40.00 23A KNEE SOCKS (ONE SIZE FITS 9-11) 3.00 16KX LARGE SIZE PRINTED SWEATSUIT (2X-3X) 46.00 23C COTTON ANKLETS (9, 10, 11 OR 12) 3/12.00 16LX LARGE SIZE PRINTED SWSUIT W/ COL (2X-3X) 48.00 23D STRETCH ANKLE SOCKS (ONE SIZE FITS 9-11) 2.50 80A SNAP BACK SWEAT TOP (S-3X) 28.00 23E SUPER STRETCH SOCKS (M OR L) 4.00 80B SNAP BACK SWEAT TOP W/ COLLAR (S-3X) 30.00 23H CARE SOCKS WHITE/BLACK/TAN (M/L OR XL) 6.00 80C PRINTED SNAP BACK SWEAT TOP (S-3X) 32.00 23K DRI-SOLE SOCKS BLACK/WHITE (M-L-XL) 8.50 80D PRINTED SNAP BACK TOP W/ COLLAR (S-3X) 34.00 23M SO-SOFT SOCKS (8-13) 8.00 80F SIDE ZIP SWEAT PANTS (S-3X) 26.00 23P STRETCHY KNEE SOCKS (ONE SIZE FITS ALL) 9.50 70B ADAPTIVE BASIC SWEATSUIT (S-3X) 54.00 23T LOW NON-SKID SLIPPER SOCK (8-13) 6.00 70F ADAPTIVE BASIC SWEATSUIT W/ COL. (S-3X) 56.00 24C THIGH-HI NYLONS (A-B, C-D, QUEEN) 5.50 70D ADAPTIVE PRINTED SWEATSUIT (S-3X) 58.00 46F NON-SKID SLIPPER SOCKS (ONE SZ FITS 8-13) 6.00 70H ADAPTIVE PRINTED SWEATSUIT W/ COL (S-3X) 60.00 FOOTWEAR (70-73, 106) SLEEPWEAR (44-51, 55) 44A BALLERINA SLIPPERS (6-10) 14.00 18A LONG FLANNEL GOWN (S-3X) 26.00 44B SNOOZIES (5-12) 10.00 18B SHORT FLANNEL GOWN (S-3X) 23.00 44C BOOTIES W/ NON-SKID SOLE (5-10) 17.00 18D KNIT PAJAMAS (S-2X) 30.00 44D OPEN TOE VELCRO SLIPPERS (5-10) 18.00 18F COTTON/POLY PAJAMAS (S-3X) 24.00 44L FLAP FRONT VELCRO SLIPPERS (5-10) 20.00 18G FLANNEL PAJAMAS (S-3X) 28.00 44FW FOOT SNUGGLERS (ONE SIZE) 30.00 18H COTTON/POLY GOWN (S-3X) 24.00 44K SHEARLING LINED VELCRO BOOTIES (5-10) 22.00 18J SO-SOFT BUTTON FRONT BED JACKET (S-3X) 42.00 44M TERRY LINED VELCRO BOOTIES (5-10) 22.00 18K PRINTED KNIT NIGHTSHIRT (S-L)(XL-3X) 23.00 44N WOMEN’S WRAP TOP SLIPPERS (6-11) 45.00 18L VELCRO FRONT BED JACKET (S-3X) 42.00 44Q ACORN SPA WRAP (5-10) 42.00 18M PETALS SHORT NYLON GOWN (S-3X) 30.00 44S NON-SKID KNIT SLIPPER SOCKS (ONE SIZE) 12.00 18N PETALS SHORT ROBE (BLUE S-3X) (FOAM S-XL) 38.00 44X THE SOLUTION SHOE (7-15) 32.00 18P PETALS LONG NYLON GOWN (S-XL) 34.00 44W WOMEN’S LOWRIDER (6-12) 40.00 18Q PETALS LONG NYLON ROBE (S-XL) 42.00 45A KEDS CANVAS SHOES (6-11) (NAVY OR TAN) 39.00 18S SO-SOFT ZIP FRONT ROBE (XS-2X) 44.00 45B WASHABLE SHOES (6-10) 28.00 18T PETALS NYLON PAJAMAS (34-42) 40.00 45C WOMEN’S LEATHER WALKING SHOES (6-12) 75.00 18V SO-SOFT PAJAMAS (XS-2X) 54.00 45D PEDIC WALKER SANDAL (6-11) 88.00 28A LONG FLANNEL OPEN BACK GOWN (S-2X) 25.00 45G MARY JANE SHOES (6-11) 75.00 28B COT/POLY OPEN BACK GOWN (S-3X) 22.00 45H OLIVIA SHOE (6-11) 94.00 28C KNIT OPEN BACK GOWN (S-3X) 25.00 45J AMBULATORY EDEMA SHOES (5-15) 128.00 28D FLANNEL OPEN BACK GOWN (S-3X) 23.00 45K CONTOUR SHOE (6-13) (BLACK OR TAN) 48.00 28E BUDGET COT/POLY O. B. GOWN (S-4X) 18.00 45L PULMAN SANDALS (6-15) 128.00 28F BUDGET FLANNEL O. B. GOWN (S-2X) 19.00 45P WOMEN’S E-Z FIT (6-11) 45.00 28J O. B. PRINTED KNIT NIGHTSHIRT (S-L)(XL-3X) 25.00 ACCESSORIES, THROWS, ELECTRONICS, WHEELCHAIRS, ETC. (108-115) 28K SOLID BACK-ZIP SLEEPER SUIT (S-XL) 35.00 SEE PAGES 108-115 AND WRITE IN YOUR SELECTION 28KL LG. SZ. SOLID BACK-ZIP SLEEPER SUIT (2X-3X) 39.00 28KP PRINTED CAPRI BACK-ZIP SLEEPER SUIT (S-XL) 37.00 28L SOLID CAPRI BACK-ZIP SLEEPER SUIT (S-2X) 32.00 VISA MASTERCARD DISCOVER AM/EX 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 EXPIRES: TOTAL COST THIS PAGE 39A SEERSUCKER SHOWER ROBE (ONE SIZE) 36.00 TOTAL COST PREVIOUS PAGE 39H TERRY SHOWER ROBE (ONE SIZE) 44.00 month year STANDARD SHIPPING CHARGES* $ 9.00 39S SO-SOFT SHOWER ROBE (ONE SIZE) 40.00 *Alaska and Hawaii add $10.00 additional shipping self assisted WA State residents add 9.6% state sales tax SD dressing AD dressing SIGNATURE GRAND TOTAL $ 58 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 (74-86) PANTS CONTINUED (77-87) 29A SHORT SLEEVE SPORT SHIRT (M-4X) 24.00 30E VELCRO FLY CORDUROY PANTS (32-47) 56.00 29B LONG SLEEVE SPORT SHIRT (M-4X) 26.00 30F STANDARD WST. VELCRO FLY TWILLS (30-44) 40.00 29C FLANNEL SHIRT (M-2X) 26.00 32E FLANNEL LINED VELCRO FLY PANTS (34-42) 55.00 29D SHORT SLEEVE POLO SHIRT (S-3X) 26.00 32F TWILL VELCRO FLY CARGO SHORTS (34-42) 43.00 29E LONG SLEEVE POLO SHIRT (S-3X) 30.00 32G 5 POCKET VELCRO FLY JEANS (32-44) 45.00 29R SHORT SLV. BANDED BOTTOM SHIRT (M-2X) 32.00 32H LT. WT. VELCRO FLY CARGO PANTS (34-42) 49.00 29S LONG SLV. BANDED BOTTOM SHIRT (M-2X) 36.00 32J TWILL VELCRO FLY CARGO PANTS (34-42) 48.00 29F SHORT SLEEVE WESTERN SHIRT (M-2X) 24.00 39RM TWILL BACK-FLAP PANTS (S-3X) 36.00 29G LONG SLEEVE WESTERN SHIRT (M-2X) 26.00 40D TWILL SIDE SNAP PUTTERS PANTS (M-3X) 37.00 29H SHORT SLEEVE DRESS SHIRT (M-2X) 24.00 40GM FLEECE BACK-FLAP PANTS (S-3X) 38.00 29J LONG SLEEVE DRESS SHIRT (M-2X) 26.00 40HM FLEECE SIDE SNAP PANTS (S-3X) 35.00 29K LONG SLEEVE DENIM SHIRT (S-3X) 26.00 SWEATERS, JACKETS AND PONCHOS (88-89, 91) 29KS SHORT SLEEVE DENIM SHIRT (S-3X) 22.00 31H CABLE CARDIGAN WITH POCKETS (M-2X) 32.00 29N LONG SLEEVE TWILL SHIRT (S-2X) 30.00 31J BASIC CARDIGAN WITH POCKETS (M-2X) 28.00 29NS SHORT SLEEVE TWILL SHIRT (S-2X) 28.00 32B FLEECE LINED JACKET (M-3X) 52.00 34M CHAMOIS SHIRT (M-2X) 39.00 32C ZIP-FRONT FLEECE JACKET (S-2X) 28.00 34P SHORT SLV. GINGHAM CHECK SHIRT (S-2X) 30.00 32D SO-SOFT ZIP-FRONT JACKET (XS-2X) 36.00 34Q LONG SLV. GINGHAM CHECK SHIRT (S-2X) 32.00 33J CARDIGAN SWEAT TOP (ONE SIZE) 29.00 29Z SHORT SLV. SNAP BACK SPORT SHIRT (M-4X) 31.00 33K ZIP FRONT HOODIE (S-2X) 42.00 29W LONG SLV. SNAP BACK SPORT SHIRT (M-4X) 33.00 39GM RAINPROOF FLEECE LINED PONCHO (O. S.) 69.00 29X FLANNEL SNAP BACK SHIRT (M-2X) 33.00 39PM FLEECE PONCHO (ONE SIZE) 36.00 29T LG. SLV. VELCRO FRONT SPORT SHIRT (M-4X) 36.00 SWEATSUITS AND T-SHIRTS (90-93, 97) 29V SH. SLV. VELCRO FRONT SPORT SHIRT (M-4X) 34.00 16AM SWEAT TOP (S-XL) 16.00 31A SHORT SLV. SNAP BACK POLO SHIRT (M-2X) 36.00 16DM PRINTED SWEAT TOP (S-3X) 27.00 31C LONG SLV. SNAP BACK POLO SHIRT (M-2X) 40.00 16BD SWEAT PANTS (S-XL) 16.00 31L SH. SLV. VELCRO FRONT TWILL SHIRT (S-2X) 38.00 16FM SWEATSUIT (S-XL) 32.00 31M LG SLV. VELCRO FRONT TWILL SHIRT (S-2X) 40.00 16KM PRINTED SWEATSUIT (S-XL) 43.00 31N VELCRO FRONT FLANNEL SHIRT (M-2X) 36.00 16AXM LG SIZE SWEAT TOP (2X-3X) 19.00 31P SH. SLV. VELCRO FRONT DRESS SHIRT (M-2X) 34.00 16BXM LG SIZE SWEAT PANTS (2X-3X) 19.00 31R LG. SLV. VELCRO FRONT DRESS SHIRT (M-2X) 36.00 16FXM LG SIZE SWEATSUIT (2X-4X) 38.00 31S SH. SLV. VELCRO FRT. GINGHAM SHIRT (S-2X) 40.00 16KXM LG SIZE PRINTED SWEATSUIT (2X-3X) 46.00 31T LG. SLV. VELCRO FRT. GINGHAM SHIRT (S-2X) 42.00 16P OPEN CUFF SWEATPANTS (S-2X) 22.00 31V SHORT SLV. VELCRO FRT. DENIM SHIRT (S-3X) 32.00 16PX LARGE SZ. OPEN CUFF SWEATPANTS (3X-4X) 34.00 31W LONG SLV. VELCRO FRT. DENIM SHIRT (S-3X) 36.00 29M SHORT SLEEVE PRINTED T-SHIRT (S-3X) 21.00 PANTS (77-87) 29Q LONG SLEEVE PRINTED T-SHIRT (S-3X) 26.00 30B COT/POLY TWILL PANTS (30-42) 30.00 65A SHORT SLEEVE COLORED T-SHIRT (S-5X) 10.00 30C POLY DRESS SLACKS (34-44) 40.00 65B LONG SLEEVE T-SHIRT (S-4X) 14.00 30Q ZIP-FLY PUTTER PANTS (29-43) 38.00 80AM SNAP BACK SWEAT TOP (S-3X) 28.00 30QX LARGE SIZE ZIP-FLY PUTTER PANTS (44-55) 42.00 80CM PRINTED SNAP BACK SWEAT TOP (S-3X) 32.00 30G CORDUROY PUTTER PANTS (32-47) 52.00 80FM SIDE-ZIP SWEAT PANTS (S-3X) 26.00 30N TWILL PUTTER PANTS (28-43) 38.00 70BM BASIC ADAPTIVE SWEATSUIT (S-3X) 54.00 30NX LARGE SIZE TWILL PUTTER PANTS (44-55) 42.00 70DM PRINTED ADAPTIVE SWEATSUIT (S-3X) 58.00 30ND DENIM PUTTER PANTS (32-43) 40.00 65C S. S. SNAP BACK SOLID T-SHIRT (S-5X) 17.00 30NDX LARGE SIZE DENIM PUTTER PANTS (44-51) 44.00 65D L. S. SNAP BACK SOLID T-SHIRT (S-2X) 21.00 15YM SO-SOFT PULL-ON PANTS (XS-2X) 32.00 29P S. S. SNAP BACK PRINTED T-SHIRT (S-3X) 28.00 16G LIGHT WEIGHT KNIT PANTS (S-3X) 30.00 29Y LG. SLV. SNAP BACK PRINTED T-SHIRT (S-3X) 33.00 30H LIGHT WEIGHT KNIT SHORTS (S-3X) 18.00 JUMPSUITS (86-89) 30K RELAXED FIT JEANS (32-44) 32.00 55A BASIC SWEAT JUMPSUIT (S-XL) 42.00 34H FLANNEL LINED TWILL PANT (34-42) 45.00 55AX LARGE SIZE BASIC SWEAT JUMPSUIT (2X-3X) 48.00 34J TWILL CARGO PANTS (34-42) 38.00 55F S.S. POLO BACK-ZIP JUMPSUIT (S-XL) 49.00 34K TWILL CARGO SHORTS (34-42) 33.00 55FX LRG. SZ. S.S. POLO BACK-ZIP JUMPSUIT (2X-3X) 59.00 34L LIGHT WEIGHT CARGO PANTS (34-42) 39.00 55H L.S. POLO BACK-ZIP JUMPSUIT (S-XL) 52.00 30A MEN’S SIDE-ZIP KNIT PANT (S-XL) 32.00 65F SHORT SL. BASIC T-TOP JUMPSUIT (S-XL) 36.00 30AX LRG. SIZE MEN’S SIDE-ZIP KNIT PANT (2X-3X) 37.00 65G LONG SL. BASIC T-TOP JUMPSUIT (S-XL) 40.00 30D VELCRO FLY TWILL PUTTER PANTS (28-43) 38.00 60E TWILL BACK-ZIP JUMPSUIT (M-2X) 48.00 30DX LG. SIZE VELCRO FLY TWILL PANTS (44-55) 44.00 37S SOLID BACK-ZIP SLEEPSUIT (S-2X) 44.00 30DZ VELCRO FLY DENIM PANTS (28-47) 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 2016 59 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 SLEEPWEAR (96-97) FOOTWEAR CONTINUED (103-105, 107) 37B FLANNEL P. J.’S (BUTTON FRONT) (S-XL) 26.00 46J OPEN TOE VELCRO SLIPPERS (7-13) 22.00 37BX LG SIZE FLANNEL P.J.’S (2X-3X) 32.00 46L LOWRIDER (7-14) 40.00 37C COT/POLY P. J.’S (BUTTON FRONT) (S-3X) 24.00 46R TERRY VELCRO SLIPPERS (8-12½) 22.00 37E FLANNEL NIGHTSHIRT (S-3X) 34.00 46T MEN’S E-Z FIT (7-14) 46.00 37F COT/POLY NIGHTSHIRT (S-3X) 30.00 47A PROPET LEATHER WALKING SHOES (7-14) 78.00 37K FLANNEL PAJAMA BOTTOMS (S-XL) 18.00 47C WASHABLE SHOES (7-13) 28.00 37L COTTON PAJAMA BOTTOMS (S-4X) 18.00 47G MEN’S PED WALKER 3 (8-15) 98.00 37A OPEN BACK KNIT NIGHTSHIRT (S-3X) 34.00 45J AMBULATORY EDEMA SHOES (5-15) 128.00 37N OPEN BACK FLANNEL NIGHTSHIRT (S-3X) 34.00 45L PULMAN SANDALS (5-15) 128.00 37P OPEN BACK COT/POLY NIGHTSHIRT (S-3X) 30.00 44X THE SOLUTION SHOE (6-15) 32.00 37S SOLID BACK ZIP SLEEPSUIT (S-2X) 44.00 44FM FOOT SNUGGLERS (ONE SIZE) 30.00 37T KNICKER BACK ZIP SLEEPSUIT (S-2X) 36.00 45K CONTOUR SHOE (5-13) (BLACK OR TAN) 48.00 BIBS, ARM/LEG PROTECTORS, SHOWER ROBES (98-99, 106-107) 46F NON-SKID SLIPPER SOCKS (ONE SIZE) 6.00 39EM SO-SOFT LAP ROBE (ONE SIZE) 23.00 ELECTRONICS (102-103) 39AM SEERSUCKER SHOWER ROBE (ONE SIZE) 36.00 52A SANSUI 24” HDTV/DVD COMBO 320.00 39HM TERRY SHOWER ROBE (ONE SIZE) 44.00 52C SAMSUNG 19” HDTV 250.00 39SM SO-SOFT SHOWER ROBE (ONE SIZE) 40.00 52H PHILIPS CLOCK RADIO 32.00 39CM SO-SOFT ARM PROTECTORS (ONE SIZE) 10.00 52M LA CROSSE WEATHER CLOCK 55.00 39DM SO-SOFT LEG PROTECTORS (ONE SIZE) 12.00 52S SANSUI 32” LED/HDTV 390.00 39KM POLAR FLEECE ARM PROTS. (ONE SIZE) 14.00 ROOM ACCESSORIES & WHEELCHAIRS (109-110, 112) 39KLM POLAR FLEECE LEG PROTECTORS (ONE SIZE) 16.00 SEE PAGES 109-110 & 112 AND WRITE IN YOUR SELECTION 40J HAND PROTECTORS (ONE SIZE) 6.00 40PM SWEAT FLEECE ARM PROTS. (ONE SIZE) 8.00 PERSONAL ACCESSORIES (108) 40QM SWEAT FLEECE LEG PROTECTORS (ONE SIZE) 10.00 38H CABBY HAT (S-M) OR (L-XL) 15.00 40XM 3 LAYER BIB (ONE SIZE) 23.00 38K CORDLESS RAZOR 75.00 40YM TERRY WATERPROOF BIB (ONE SIZE) 28.00 38J BASEBALL CAP 5.00 39LM SMOKER’S BIB 45.00 38L NORELCO NOSE/EAR TRIMMER 20.00 UNDERWEAR (100-101) 49D MEN’S TIMEX GOLD TONE WATCH 54.00 34A BRIEFS (28-42) 3/9.00 49E MEN’S TIMEX SILVER TONE WATCH 52.00 34B BRIEFS (44-50) 3/13.00 49F MEN’S TALKING WATCH 58.00 34C BOXER SHORTS (30-44) (EACH) 5.00 38B LEATHER BELT (30-54) 18.00 34D BOXER SHORTS (46-48) (EACH) 6.50 38A CLIP-ON SUSPENDERS 12.00 34E INCONTINENT BRIEF (S-2X) 26.00 38C ZIP TIE (SOLID OR PRINT) 19.00 34G PROTECTIVE BRIEF (M-XL) 29.00 38E WHITE HANDKERCHIEF 3/3.00 35A V-NECK UNDERSHIRTS (S-XL) 3/15.00 WHEELCHAIR/WALKER ACCESSORIES (104-107) 35B V-NECK UNDERSHIRTS (2X-3X) 3/19.00 50A SIDEKICK WHEELCHAIR POUCH 20.00 35C CREW NECK UNDERSHIRTS (S-XL) 3/15.00 50B ENVELOPE WHEELCHAIR POUCH 13.00 35D CREW NECK UNDERSHIRTS (2X-3X) 3/19.00 50C BED RAIL BUDDY 24.00 35G ATHLETIC UNDERSHIRTS (S-XL) 3/12.00 50E URINARY DRAINAGE BAG 29.00 35E MEN’S ONE PIECE (BLACK/WHITE) (S-XL) 22.00 50F WHEELCHAIR DAY PACK 44.00 35R V-NECK SNAP BACK UNDERSHIRT (S-L) 12.00 50G STOWAWAY WHEELCHAIR PACK 26.00 35RX V-NECK SNAP BACK UNDERSHIRT (XL-3X) 14.00 50K DOUBLE-SIDED WALKER BAG 29.00 35S CREW-NECK SNAP-BACK T-SHIRT (S-L) 12.00 50H SHEARLING WALKER GRIPS 17.00 35SX CREW-NECK SNAP-BACK T-SHIRT (XL-3X) 14.00 50L WHEELCHAIR ARM WRAP (LONG) 20.00 SOCKS (100-102) 50LS WHEELCHAIR ARM WRAP (SHORT) 20.00 36A ACRYLIC SOCKS (10-13) 6.00 50M JUST RIGHT ORGANIZER 31.00 36B TUBE SOCKS (10-15) 2.00 50N FOLDING CUP HOLDER 20.00 36D KNEE-HI TUBE SOCKS (10-17) 8.00 50P BASIC CUP HOLDER 10.00 36E CREW SOCKS (10-13) 2.00 TOTAL COST THIS PAGE 36F STRETCHY KNEE SOCKS (10-15) 10.00 23MM SO-SOFT SOCKS (10-13) 8.00 TOTAL COST PREVIOUS PAGE 23T LOW NON-SKID SLIPPER SOCK (10-13) 6.00 STANDARD SHIPPING CHARGES* $ 9.00 23E SUPER STRETCH SOCKS (M OR L) 4.00 *Alaska and Hawaii add $10.00 additional shipping 23H CARE SOCKS (WHITE/TAN/BLK) (M/L OR XL) 6.00 WA State residents add 9.6% state sales tax 23K DRI-SOLE SOCKS (WHITE/BLACK) (M-L-XL) 8.50 $ 23J DIABETIC THERMAL SOCKS (M-L-XL) 12.00 GRAND TOTAL 23R DIABETIC QUARTER SOCKS (M-L-XL) 9.00 VISA MASTERCARD DISCOVER AM/EX 23S DIABETIC CREW SOCKS (M-L-XL) 10.00 46F NON-SKID SLIPPER SOCKS (ONE SIZE) 6.00 FOOTWEAR (103-105, 107) EXPIRES: 46B ACORN MOCCASIN (7½-15) 42.00 46C SHEARLING LINED VELCRO BOOTIES (7-12½) 22.00 month year SIGNATURE 46D TERRY LINED VELCRO BOOTIES (7-12½) 22.00 46G MEN’S WRAP TOP (7-14) 45.00 self assisted SD dressing AD dressing 46H REGAL BY FOAMTREAD (7-14) 38.00 Thank you for your order! 60 PHONE 1-800-458-0600 FAX 1-800-317-2182