Life Jacket-Adapted PFD-A Inc.
INTERNATIONAL

Part I

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If you wish to order, complete the other fields as well.

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Part II

product 1

Information about the user

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Product (ie: PFD-A 40-90 lbs)

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product 2

Information about the user

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Weight (specify 'lbs' or 'Kgs' )

Age

Which product do you wish to order

Product (ie: Lj-A 45-70 lbs)

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Part III

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PAYMENT INFORMATION

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Patent No.: US 6,537,119 B2 / CA 2,265,112

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Life jacket-Adapted PFD-A Inc.
INTERNATIONAL