HELPING   DOCTORS

Answer your questions about sex

This form is to order either or both the EID and Confidence Rings.

Please order from this, our secure on-line form.  If you are hesitant to put your payment information online, we can take your order over the phone or you can choose to have us contact you to obtain payment information. If you prefer to phone your order in, please contact us via Contact Us.

  Unit Price* Quantity Ordered
COMPLETE EID SYSTEM
(EID Kit, 1 pair Confidence Rings, Carrying Case, H&R Lubricant, 1-year warranty)
$295.00
CONFIDENCE RINGS    
Firm Pink (2 per set) $59.00
Regular Natural/White (2 per set) $59.00
1 Pink/1 Natural/White (2 per set) $59.00
SHIPPING and HANDLING     [$10.00 for Complete EID] $5.50 1

*All prices in US dollars

Step 3 - please fill out the payment & shipping information
Shipping information - please ship my order to:
Name:
Address:
City:
State:
Zip code:
Primary phone #:
E-mail address:
 
Payment information - I wish to pay for my order via: (please choose one)
Credit Card: Credit Card Type:
  CC number:  Expiration: month  year
Check or Money order: (note: order will not be shipped until payment is received)  I will copy this page or the confirmation page I receive back and mail it with a check or money order to:

Titan Healthcare
Duncan House, Duncan St,
Leeds, West Yorkshire, LS1 6DL
Tel: 0113 2450533   Fax: 0113 2428743   e-mail: sales@titanhealthcare.co.uk

Please have someone contact me to obtain my payment information

 

Is everything correct?

Step 4 - check the above information for accuracy and submit your order by clicking on the button below

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