Postal Order Form

Order Form for Bottles and Teats
Print out form and send to: CLAPA, Green Man Tower, 332b Goswell Road, London EC1V 7LQ
Orders from outside the UK must be accompanied by payment in £sterling
Postage & Packing is free of charge to families in the UK. Postage applies to all other orders. Please
see our website or call 0207 833 4883 for current postal rates.
Product
Bottles
Price
MAM 270ml (approx. 9oz) soft bottle with collar, disc and robust
teat cover)
£3.25
Softplas Scoop
£1.75
Quantity
Total
Teats
Griptight Newborn Teat
£2.50
(pack of 2)
Griptight Orthodontic Shaped Teat
£2.75
(pack of 3)
£2.50
(pack of 2)
MAM Vented Teat All Ages
MAM Non-vented All Ages
£2.50
(pack of 2)
£2.50
(pack of 2)
£3.50
MAM Vented Teat Newborn
NUK Cleft Palate Teat
Tapered teat
£1.50
Haberman Feeder
£21.00
£
GRAND TOTAL
I enclose a cheque
I would like to pay by card* (please tick one box)
Name: ________________________________________________________________________________
Address:____________________________________________________________________________________
____________________________________________________________________________________________
Telephone:______________________________________________________________________________
*Please debit my Credit/Debit card no (Please give us the address where the card is registered with
Expiry date: _______
Start date:_______
Issue no.:____ Security Code (3 last digits on reverse of card):
Registered Charity England & Wales (1108160) and Scotland (SCO41034)

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