BIOFREEZE Mail Order Form

BIOFREEZE Pain Relieving Roll-On Mail Order Form

For Mail Order. Please print and complete the order form below and post it to our Office.
MESP Ltd, PO BOX 492, Sowerby Bridge, West Yorkshire, HX6 2YW. England

Multi-pack EXPORT Prices For USA
Please Note that We can only process payments in UK£ Sterling for Mail Order.
For US Dollar transactions please use our US$ on-line order processing system.

For EU Countries Mail Order Please Click HERE
For UK, Channel Isles and Ireland Mail Order Please Click HERE

Product BIOFREEZE	Qty		Unit Price	Line total
4 x 3oz Roll-on		@	£27.80 approx US$47.00	£
4 x 4ozGel		@	£27.80 approx US$47.00	£
2 x 3oz Roll-on & 2 x 4oz Gel		@	£27.80 approx US47.00	£

These multi pack prices are for export only and include Air Mail Delivery to USA.

Total Order Price

Your Name
Card Holders Signature
Credit Card No				Security Number
Valid From Date Month/Year	/	Expiry Date Month/Year	/	Issue Number Switch/Solo Only
Card Holders Address for delivery Please Print clearly
Zip/Post Code
Telephone or e-mail address

By: Cheque, Postal Order or Money Order
(Please do not send cash) Crossed and Made Payable to
MESP Ltd.

Then Send the completed form and your payment to

MESP Ltd,
PO BOX 492,
Sowerby Bridge,
West Yorkshire,
HX6 2YW.
England