FAX - order
Please send me the following number of boxes HORMOTEXTM pills:
 1 (one) box x 24 pills at US$ 20,00
3 (three) boxes x 24 pills at US$ 50,00
10 (ten) boxes x 24 pills at US$ 130,00
If you want more than 10 boxes please inquire!
Mailing Address:
Client confirms that he has full age.
Postage will be confidential in neutral parcels / envelopes mentioning sender only.
Payment:
- Western union
- Bank cheque (+ extra cost US$ 10)
- Advanced cash in US$ notes by registered mail
Place/Date of orderSignature
lease print this page and send it by fax, e-mail or mail with payment to:
Neomed Pharma GmbH
Moltkestr. 38
23564 Lübeck
Germany
Tel. ++49 451 795024
Fax ++49 451 792895
e-mail: neomed-robin@t-online.de
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