LTA Product Order Form

HANDY CURE S' ORDER FORM
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Products
HANDY CURE 's LASER - £395.00 + P&P £12.95

(inc VAT)
Complete if the Medical Device is for personal use
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NO YES - please supply certificate
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NO YES - please supply certificate
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NO YES and it is diagnosed by a medical professional
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FOR POSTING OUTSIDE THE UK PLEASE COMPLETE THE SECTION FOR INVOICE AND A LINK AND APPROPRIATE P&P COSTS
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Handy Cure s' Laser £ 395.00 GBP
Please enter a short description.

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Subtotal £ 0.00 GBP Shipping £ 0.00 GBP Total £ 0.00 GBP
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Where did you hear about Lymphoedema Training Academy *
If you are a Lymphoedema patient who has been referred, please state which service referred you.
If you are a Lymphoedema patient, please tick if you wish to hear from our partner company LymphVision about their lymphatic imaging service and patient information days.

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Keeping In Touch
Lymphoedema Training Academy (LTA) would like to keep in touch with you. The main aim is to advise you of any relevant Lymphoedema information, products or future events that we hold. Due to GDPR which came intoforce in 2018, we just need you to confirm that this would be OK.. *

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HANDY CURE S' ORDER FORM

Personal Information

Delivery Information

Products

Complete if the Medical Device is for personal use

Paying by Card?

Paying by Invoice or Purchasing Outside the UK?

Source of Interest

Keeping In Touch