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 | | | | | | | | | Akileine Hydra-Defense Baume 125ml | | @ | £ 8.28 | | | Akileine Dry Foot Crème, 50ml | | @ | £ 5.95 | | | Akileine Dry Foot Crème, 150ml | | @ | £10.95 | | | Akileine Relaxing Crème, 50ml | | @ | £ 5.95 | | | Akileine Relaxing Crème, 150ml | | @ | £10.95 | | | Akileine Intensely Refreshing Gel (Red Ice) 50ml | | @ | £ 6.47 | | Post and Packing | FREE | £ 0.00 | Total Order Value | £ |
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| Your Name | | | Card Holders Signature | | 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 | | | Zip/Post Code | | | 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 | NATREMED
PO BOX 492,
Sowerby Bridge,
West Yorkshire, HX6 2YW. |
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