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Swing-Down                                                    D

                                           Pommel Form


                                     (Please attach to Generic Order Form)




          Name: ________________         Company:_____________________             Ref:___________________


                             STANDARD LENGTH OPTIONS

           CODE              (A) WIDTH – FRONT  (B) LENGTH       (C) HEIGHT     (D) WIDTH – BACK       QTY
           1501     Small           60mm              120mm          80mm               40mm
           1502     Medium          80mm              160mm          100mm              60mm

           1503     Large          100mm              200mm          120mm              75mm
                    (Page 17)








                    CUSTOM PAD DIMENSIONS
           (A) =


           (B) =

           (C) =

           (D) =

           Code  1505  QTY



















                                                                                                                      s
                                                                                                                      rder Form








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