1. Your Name, Delivery Address and Phone #
2. BDL Prosthetics
2181 Dupont Drive
Irvine, CA 92612
(800) 411-9723
3. Enter Name of Patient in Description Field
4. Sign and Date
5. Check the Bill to Receiver Check Box
6. Check Next Day by 12:00 Box
7. Print "1" in the Number of Packages Box
8. Print "2" in the Weight(Lbs) Box
9. Check appropriate box in Packaging Section
10. Affix label to the outside of your case box