order form

Simply print this page or download a PDF version of the form by clicking this PDF logo:

No.of items	Description	Price	Total
	Desmond and Daisy (standing version)	£400 per pair
	Desmond and Daisy (Sitting version)	£475 per pair
	Desmond and Daisy (one standing and one sitting version)	£437.50 per pair
	Wheelchair for sitting version of anatomically correct cloth models	£250 each
	Desmond and Daisy Sitting version and a Wheelchair	£700.00
	Desmond and Daisy (one sitting and one standing version) and a Wheelchair	£667.50
	Wendy: Anatomically correct model of female genitalia & reproductive organs	£375
Total cost

Please enter your details below:

Name:
Address:
Phone Number:
Email Address:

Complete the order form and send to the address below. Cheques should be made payable to Bodysense. Orders without payment need to be on an official order document or letterhead. Please include name and contact number for reference. Orders that are faxed through should not then be posted to avoid duplication.

When ordering Wendy, please indicate the preferred skin colour (White European, Mixed Race/Mediterranean or Black/African/Caribbean).

When ordering one sitting version and one standing version of Desmond and Daisy, please indicate which model is to be standing and which is to be sitting.

The Revd. Jane Fraser, Bodysense Manager

The Campanile, Church Lane, Stoulton,

Worcester WR7 4RE

Telephone: 01905 840266