![]() | DELIVERY |
| NO RX REQUIRED |
| NO RX REQUIRED |
|
(US Funds, EURO or British Pound at Current Rates) Payable to: #206 - 86014 Vedder Rd. Chilliwack, B.C. Canada V2R 5P5 | |||
| SYNVISC | $369.00 US X ____ = ____ + | For Up To 3 Items (5 day insured Express Post North America) | $______ |
| NEOVISC | $249.00 US X ____ = ____ + | $______ | |
| All other countries add an additional $20.00 US Shipping (5-10 days) | $______ | ||
| TOTAL: $______ | |||
| NO RX REQUIRED |
|
(US Funds, EURO or British Pound at Current Rates) Payable to: #206 - 86014 Vedder Rd. Chilliwack, B.C. Canada V2R 5P5 | |||
| NORFLEX 32 Tablets | $49.95 US X ____ = ____ + | World Wide Delivery (Include only one shipping charge) Now accepting the Euro | $_____ |
| GENERIC ROBAXISAL 40 Tablets | $39.95 US X ____ = ____ + | $_____ | |
| GENERIC ROBAXISAL (w/Codeine) 36 Tabs | $49.95 US X ____ = ____ + | $_____ | |
| GENERIC ROBAXACET 40 Tablets | $39.95 US X ____ = ____ + | $_____ | |
| GENERIC ROBAXACET (w/Codeine) 36 Tabs | $49.95 US X ____ = ____ + | $_____ | |
| ROBAXIN 50 Tablets | $45.95 US X ____ = ____ + | $_____ | |
| PARAFON FORTE (Acetazone) 100 Tablets | $59.95 US X ____ = ____ + | $_____ | |
| PARAFON FORTE (With Codeine) (Acetazone) 60 Tablets | $59.95 US X ____ = ____ + | $_____ | |
| PARAFON FORTE w/codeine (Acetazone) 40 Tablets | $39.95 US X ____ = ____ + | $_____ | |
| BUFFERED ASA (w/Codeine) 100 Tabs | $49.95 US X ____ = ____ + | $_____ | |
| GENERIC TYLENOL (w/Codeine) 100 Tabs | $45.95 US X ____ = ____ + | $_____ | |
| GENERIC ASPIRIN (w/Codeine) 100 Tabs | $45.95 US X ____ = ____ + | $_____ | |
| MERSYNDOL 100 Tablets | $49.95 US X ____ = ____ + | $_____ | |
| *FREE Shipping when you order any 3 items from this form. | TOTAL: $______ | ||
| NO RX REQUIRED |
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