Form

Redeem Your TENS Hire

If you purchased a 'TENS Hire Pack', complete the form below to receive your TENS machine
Name *

First Name Last Name
E-mail *

Confirmation Email example@example.com
Phone Number: *

- Area Code Phone Number

Address: *

BC Number *
Find inside hire pack leaflet
HP Number *
Find on back of hire pack DVD case
Due Date: *

Month Day Year
Please note, your unit will be shipped in the 37th week of pregnancy.
If you require next day delivery, please call (0)20 8532 9595
Where did you buy the hire pack?

BOOTS Mothercare
Terms and Conditions *

I have read, understood, and accepted the following Terms and Conditions.
Terms and Conditions
Once you submit your application, a Babycare TENS
customer service representative will be in touch.

Thank you!
Should be Empty:

Redeem Your TENS Hire