Web Toolbar by Wibiya

 

Order Online

 

Please fill out the form below to completion to order the Easy Gait ™ Brace Complete online. You will then need to click the paypal checkout button to complete the purchase. This form is only for ordering the Easy Gait ™ Brace Complete and will come with a pair of crosstrainer shoes in the size requested below with the brace attached to one of the shoes of your choice. If you have questions on how to obtain certain measurements please refer here. Please allow 1-2 weeks for processing, shipping and handling.

 

Name:*
Phone:*
Email:*
Address:*
Country:*
Gender:* Male
Female
Shoe Color:*
Shoe Size:*
Circumference at Mid-Calf:*
Top of Shoe to Mid Calf Plus1 Inch:*
Leg:* Left
Right

 



 

Complete Purchase

Please click the paypal button only after filling out the required information on the left.