PureCol Order Form
First Name:
Surname:
Address:
Postcode:
Tel Number:
E-Mail Address:
I wish to order...
 1 TUB of PURE-COL CAPSULES £ 29.95
and/or...
 3 TUBS of PURE-COL CAPSULES £ 75.00
and/or...
 6 TUBS of PURE-COL CAPSULES £140.00
and/or...
 12 TUBS of PURE-COL CAPSULES (£264.00)
and/or...
 1 TUB PERFECT H CAPSULES (£19.95)
and/or...
 3 TUBS PERFECT H CAPSULES (£50.00)
and/or...
 6 TUBS PERFECT H CAPSULES (£85.00)
and/or...
 1 MONTH PERFECT C (£70.00)
and/or...
 3 MONTHS PERFECT C (£199.00)
and/or...
 6 MONTHS PERFECT C (£300.00)
and/or...
 1 MONTH PERFECT W8 (£34.95)
and/or...
 3 MONTHS PERFECT W8 (£80.00)
and/or...
 1 PERFECT I (£22.95)
and/or...
 3 PEREFCT I (£59.85)
and/or...
 6 PERFECT I (£112.70)
and/or...
 1 LITRE PERFECT A (£16.00)
and/or...
 2 LITRES PERFECT A (£26.00)

Post Your Order to:
RPT Ltd, 34 Downview Road, Felpham, Bognor Regis, West Sussex. PO22 8HH.