THE BAYLY SCHOOL OF REFLEXOLOGY
ORDER FORM

Please print out order form, complete and send order to :

The Bayly School of Reflexology, Monks Orchard, Whitbourne, Worcester WR6 5RB.
Tel : 01886-821207 / Fax : 01886-822017

NAME (Mr/Mrs/Ms/Miss)    ..............................................................................................................

ADDRESS    ......................................................................................................................................

                      ......................................................................................................................................

POSTCODE    ...................................................................................................................................

TEL NO (home)     ..........................................  (work)    ..............................................

Please send the following items :

 

No of items

Cost of items

Postage

Total cost
B1        
B2        
B3        
B4        
B5        
B6        
B7        
B8        
C1        
C2        
C3        
C4        
V1        
V2        
R1        
R2        
T1        
    TOTAL ORDER  

I enclose cheque/P.O. for £ ................. (Please make cheques payable to The Bayly School of Reflexology Ltd)


By Credit Card : Please debit my Visa / Mastercard / Maestro (circle as appropriate)

Credit Card Number                                                                                                                             Card Expiry Date

                               
       

Card Security Code                            Card Issue Number (Maestro only)    ........    

     

SIGNED    .................................................................     DATE...........................................................