Please, copy and print (landscape) this form for mail order (you may leave out the categories not necessary to your order ). This applies to patients wanting to purchase products marked *. The completed VAT exemption form must be sent with your order, please read our Terms and Conditions.
All listed postage prices for UK only. For overseas please read our Terms and Conditions.
| Product Name | Product Code | Net Price | Postage and Packing | Price exc. VAT | VAT Yes/No | VAT | Total | Items order | Your order |
|---|---|---|---|---|---|---|---|---|---|
| beContent pelvic floor toning system | CON1 | 15.01 | 2 | 17.01 | Y | 2.95 | 19.99 | ||
| Contrelle* Starter Pack | CONTR(SP) | 5.25 | 1 | 6.25 | Y | 1.09 | 7.34 | ||
| Contrelle* size 1 | CONTR(1) | 44.70 | 3 | 47.70 | Y | 8.35 | 56.05 | ||
| Contrelle* size 2 | CONTR(2) | 44.70 | 3 | 47.70 | Y | 8.35 | 56.05 | ||
| Contrelle* size 3 | CONTR(3) | 44.70 | 3 | 47.70 | Y | 8.35 | 56.05 | ||
| Vaginal dilators (set 3) | VAGDIL | 33.55 | 3 | 36.55 | Y | 6.40 | 42.95 | ||
| Neurotrac Labour TENS Unit rental | NLABTRENT | 21.28 | inc. | 21.28 | y | 3.72 | 25.00 | ||
| Neurotrac Labour TENS Unit purchase | NLABT | 49.95 | 7 | 56.95 | 9.97 | 66.92 | |||
| Rocket® Incontinence Device Vaginal Sponge (starter pack)* | ROC(SP) | 6.99 | 2 | 8.99 | Y | 1.57 | 10.56 | ||
| Rocket® Incontinence Device Vaginal Sponge (size 1 pack 20)* | ROC(1)20 | 43.99 | 3 | 46.99 | Y | 8.22 | 55.21 | ||
| Rocket® Incontinence Device Vaginal Sponge (size 2 pack 20)* | ROC(2)20 | 43.99 | 3 | 46.99 | Y | 8.22 | 55.21 | ||
| Rocket®Incontinence Device Vaginal Sponge (size 3 pack 20)* | ROC(3)20 | 43.99 | 3 | 46.99 | Y | 8.22 | 55.21 | ||
| Rocket®Incontinence Device Vaginal Sponge (size 1pack 10)* | ROC(1)10 | 24.99 | 3 | 27.99 | Y | 4.90 | 32.89 | ||
| Rocket®Incontinence Device Vaginal Sponge (size 2 pack 10)* | ROC(2)10 | 24.99 | 3 | 27.99 | Y | 4.90 | 32.89 | ||
| Rocket®Incontinence Device Vaginal Sponge (size 3 pack 10)* | ROC(3)10 | 24.99 | 3 | 27.99 | Y | 4.90 | 32.89 | ||
| YOUR ORDER |