Psoriasis, A natural relief for Psoriasis

Order Form

To place an order please select the products of your choice, from the list below then fill in the form with your personal information and press the submit button.

Then please send your payment by cheque or postal order to:-

CHOICE
10\11 AIRE PLACE,
KIRKSTALL ROAD,
LEEDS,
ENGLAND LS3 1JL.

TEL: 07773 847693

For purchases from Europe a £2 postage fee will be added to the order cost.

For purchases from other countries please E-MAIL info@psoriasiscure.co.uk for prices and delivery.

Product	Size	Prices U.K.	Order Quantity
Bliss 14 Cream	100ml Bottle	£12.95
	250ml Bottle	£24.95
	500ml Bottle	£45.95
SP14 Lotion	100ml Bottle	£12.95
	250ml Bottle	£24.95
	500ml Bottle	£45.95
EZ14 Eczema Cream	100ml Bottle	£12.95
	250ml Bottle	£24.95
	500ml Bottle	£45.95
Teatrea Blend Shampoo	250ml Bottle	£10.95
Teatrea Blend Shampoo	500ml Bottle	£18.95

Please Enter your details * indicates required field
	Title *
Surname * Initials *
	Address 1 *
	Address 2 *
	Address 3
	Address 4
	Address 5
	Postcode *
Phone Number Day *without spaces
Phone No. Evening *without spaces
	E-Mail *

If You Live In Mainland Europe please Tick the box a £2 postage fee will be added to the order cost.

		Your Total Order Value is: £

Preferred Payment Method Cheque Postal Order Please make all payments payable to CHOICE
If you have any other requirements or comments please enter them below

*Thank you for your order, if all details are correct please click the send button. Your order will be sent to you at the above address upon receipt of your payment.*

For further information contact:

CHOICE
10\11 AIRE PLACE
KIRKSTALL ROAD
LEEDS
ENGLAND LS3 1JL.

TEL: 07773 847693

E-MAIL info@psoriasiscure.co.uk