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PLEASE READ CARFULLY

If you are interested in purchasing an item or items from the PREVIOUS PAGES, please put in a product reference number, quantity and size on THIS PAGE. Swim Weare (Please specify age of baby/toddler. If adult specify small, medium or large). Purchasing video (Please specify PAL or NTSC). Purchasing books (Please specify Hard-Back or Soft-Back). All prices exclude postage and packing.

Purchase Product:

Please fill in all your personal details and product reference number on the form opposite. We will get back to you as soon as possible. It is very important that you enter your full name, address, post code, phone number email address in the fields provides.

Fields with an "*" are mandatory.

Alternatively you can phone us on the numbers below for more information.

Dolphin BirthLight Baby Swimming School
68 Brookfield Way,
Lower Cambourne,
Cambridge,
Cambridgeshire,
CB23 5ED England

Phone:		+44(0)1954 710 413

Fax:		+44(0)1954 710 413

	SHOPPING FORM (Please use for ordering items):
	FULL NAME:*
	TITLE:
	ADDRESS:*
	TELEPHONE:*
	FAX:
	E-MAIL:*
	ITEM Ref No:*
	MISCELLANEOUS:
	SWIM WEARE:
	VIDEO:
	BOOKS:
	QUANTITY:
	HOW DID :

	SEND

"Come in and enjoy a splashing time with us Looking forward to seeing you".