Leaflet enquiry form and offline sales

Please use the form below if you prefer not to pay online. If you need overprinting contact the BOS office

Patient Information Leaflets order form
Note that leaflets are sold in packs of 100 - please order in multiples of 100.

Leaflets are priced at £12 per pack of 100. There is a flat rate postage charge of £15 per order.

Click here if you prefer to order and pay online.

* denotes mandatory field

	Your name *
	Delivery address *
	Billing address if different
	"Orthodontic treatment" - number required
	"Your first visit" - number required
	"Removable appliances" - number required
	"Fixed appliances" - number required
	"Functional appliances"- number required
	"Headgear" - number required
	"Orthognathic surgery" - number required
	"Retainers" - number required
	"Adult orthodontics" - number required
	"What are the risks?" - number required
	"How to keep your teeth and gums healthy" - number required
	"Orthodontic mini-screws" - number required
	"Interproximal Reduction" - number required
	Overprinting required - add details in comments box	Yes No
	Comments
	How do you wish to pay? *	Credit card - please telephone me to take details Cheque - please inform me of the cost and I will forward payment Please notify me of the cost and I will send an official order (institutions only)
	My telephone number is *