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Delivery Address: (if different)

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Card Type:   Visa   Mastercard   Delta   Switch   Solo

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Quantity Required:
 1 box (10 capsules)  Perfect Erec  £19.95  special offer
 2 boxs (10 capsules)  Perfect Erec  £38.95  special offer


ORDER BY CHEQUE / POSTAL ORDER

Please make your cheque or postal order payable to:
DSM Management
And then send the payment and this order form to:
DSM Management, 2 Maker Close, Reading
Berkshire, RG30 3QL

Goods will be dispatched on cheque clearance.

Thank you for your order.