Order Form
Print out this form and post to address below

Faces of Huntington's
by Carmen Leal-Pock





Please print in block letters
 
 

Name : ................................................................................................

Address :.............................................................................................

....................................................................Post Code.........................

Telephone No. : ...................................................................................

E-Mail : (if applicable) .......................................................................

The cost of each book is £9.95 plus £1 p&p












                               Please send .............. copies @ £9.95          ......... : .........

                                                                                 p & p          ......... : .........

                                                                                  Total          ......... : .........
 
 

Please note : The cost of £9.95 plus £1 p&p is for UK residents only
Orders from Ireland please add £1.75 per book

Please send cheques/postal orders made payable to

Hackersons F.O.H
PO Box 30
Carmarthen
Wales (UK)
SA33 5YF

Phone 01239 820 439
Hackersons E-Mail