Fax and postal order
Cheques and postal orders: UK customers may pay by cheque or postal order. Please make cheques and postal orders payable to MEDiTAS Ltd. You may use this form, or simply send a cheque with your name and address to MEDiTAS Ltd, PO Box 567, Winchester, Hampshire SO23 2HJ, England, United Kingdom.
You may also fax or post a credit card order using the form below.
Post and Fax Order Form (please print and post / fax to us):
MEDiTAS Ltd, PO Box 567, Winchester, Hampshire SO23 2HJ, England, United Kingdom
Telephone: 01962-761-831. Fax number: 0870-458-0621.
Please send _____ SleepPro 1(’s) @ £29.99, or £39.99 for two
Total: £ ________
Please deliver goods to:
Your Name: __________________________________________
Your Address: ________________________________________
________________________________________
________________________________________
________________________________________
Post Code: _________________ Date of order: ____ / ____ / _________
Your telephone No. or email address: _________________________________
We ask for your telephone number in case we have a problem reading your details. We will not call you for selling purposes and we will not pass your details to anyone else.
Please circle your card type: Mastercard, Visa, Visa debit, Maestro, or Switch/Solo.
Card number: ________________________________________
Valid from Date: ____ / ____ / ________ Expiry Date: ____ / ____ / ________
Issue number (if applicable): ______
Security code (last three numbers on back of card): ___________
Card holder’s name if different to above: _____________________________
Card holder’s signature: ____________________________________________
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