UK Fibromyalgia Secure Ordering Form

To order from UK Fibromyalgia, please enter the quantity for each item you require
(fields in
red are required).

Price
Quantity
PRINT VERSION - Fibromyalgia Magazine (formerly FaMily Magazine)
1) Magazine delivered to your door in the UK: £34.95 for 12 monthly issues *
£34.95
2) Magazine delivered to your door in Europe: £43.95 for 12 monthly issues *
£43.95
3) Magazine delivered to your door outside the UK and Europe: £53.85 for 12 monthly issues * £53.85
4) Support Groups - magazine delivered to your door in the UK: £19.50 for 12 monthly issues. Minimum of 2 issues (please contact our office to set this up) * £19.50  
* Please note that partial refunds are not available for Fibromyalgia Magazine subscriptions once an initial 4 week period has passed from time of ordering.

If you have a Subscription Promotional Code, please enter it in the box on the right, and your discount will be deducted from the total before your credit/debit card is charged.
I am a new customer
I am an existing customer - please enter your membership number if known:

Back Issues of Fibromyalgia Magazine:
Back Issues are only available digitally from our shop at http://bit.ly/1cFEGCo priced at £2.29 per issue.


Exercise & Diet Guide
The Fibromyalgia Exercise & Diet Guide by David Jenkin only £16.95 (price includes P&P) - brand new edition for 2015!
£16.95
each

Donate
To make a donation to us please enter an amount.
Click here to find out more.
£

Please enter total
£

Your Details (fields in red are required)
Name:
Address (this must be the address that your credit/debit card is registered to):
Postcode:
Telephone:
Fax:
Email:

Delivery Details (if different from the above)
Recipient name:
Delivery Address:
Postcode:

Credit Card Details (fields in red are required)
Credit card holder:
Card type:
Visa
Delta
Eurocard
MasterCard
Switch/Maestro
Solo
JCB
Card number:       
Card Issue number: (Switch & Solo only)
Expiry date:
Card Security Code (this is the last 3-digit number printed on or just beneath the card signature strip, either after the full card number, or after the last 4 digits of the card number):
I authorise you to debit my account with the amount shown above:

We will automatically send you our UK Fibromyalgia email newsletter if you tick this box.


All prices include VAT and post and packing