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| Name: |
___________________________________ |
| Address: |
___________________________________ |
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___________________________________ |
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___________________________________ |
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___________________________________ |
| Post Code: |
___________ |
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| I wish to order the following (Please enter an amount in the quantity column): |
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| Type |
Product |
Price |
Quantity |
| DVD |
Buteyko Breathing Method |
£29 |
|
| Book |
Buteyko Practice Diary and Quick Reference Guide |
£3.50 |
|
| Book |
Buteyko Practice Diary and Quick Reference Guide (10 Copies) |
£20 |
|
| Book |
Breathe Well by Linda Shampan |
£3.50 |
|
| Booklet |
Junior Just Breathe by JL Brindley |
£3.50 |
|
| Misc. |
Micropore Tape & Dispenser |
£2.99 |
|
| Misc. |
Sterimar |
£6.99 |
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| TOTAL |
£ |
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| |
| I enclose a cheque payable to 'The Buteyko Shop' for £_________ |
Please print, complete, and send this form to:
The Buteyko Shop
15 Stanley Place
Chipping Ongar
Essex
CM5 9SU
01277 364724
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The
Buteyko Shop / Postal Order Form 
