Send your completed form with your cheque to Menses, PO Box 616, Bristol. BS99 5UN (no printer? - just send us the details - if ordering a Keeper don't forget to state style A or B)

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Please send me	1 Keeper @ £30.00 2 Keepers @ £60.00 3 Keepers @ £90.00 4 Keepers @ £120.00 5 Keepers @ £150.00
	Size A - after childbirth (vaginal delivery)  Size B - before childbirth

Name:
Postal Address:
How did you find Menses? Any suggestions or comments?: (only text you can see will print so if your message exceeds the size of the box you will need to write your comments on the print out)Sorry!

Please make cheques payable to Menses

http://www.menses.co.uk