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For Mail Order. Please print and complete the
order form below and post it to our Office.
NATREMED, PO BOX 492, Sowerby Bridge, West Yorkshire, HX6 2YW.
England
UK, Channel
Isles, and Ireland Mail Order Form |
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| Product description |
QTY |
|
Price each |
Line total £ |
|
Akildia Foot Crème 150ml Specially formulated
for diabetic sufferers |
|
@ |
£11.57 |
|
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Akileine Hydra-Defense Baume
125ml |
|
@ |
£ 8.28 |
|
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Akileine Dry Foot Crème, 50ml |
|
@ |
£ 5.95 |
|
|
Akileine Dry Foot Crème, 150ml |
|
@ |
£10.95 |
|
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Akileine Relaxing Crème, 50ml |
|
@ |
£ 5.95 |
|
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Akileine Relaxing Crème, 150ml |
|
@ |
£10.95 |
|
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Akileine Intensely Refreshing Gel (Red Ice) 50ml |
|
@ |
£ 6.47 |
|
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Post and Packing |
FREE |
£ 0.00 |
|
Total Order Value
|
£ |
|
| Your Name |
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| Card Holders Signature |
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Please
indicate
Card Type |
| Visa |
Delta |
JCB USA |
Switch |
Master Card |
Solo |
Electron |
|
| Credit Card No |
|
Security Number |
|
Valid From Date
Month/Year |
/ |
Expiry Date
Month/Year |
/ |
Issue Number
Switch/Solo Only |
|
| Card Holders Address for
delivery
Please Print clearly |
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| Zip/Post Code |
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| Telephone or e-mail
address |
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By:
Cheque, Postal
Order or Money Order
(Please do
not send cash) Crossed and
Made Payable to
NATREMED
Then Send the completed form and your payment to
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NATREMED
PO BOX 492,
Sowerby Bridge,
West Yorkshire,
HX6
2YW. |
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