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ORDER FORM

GOONING: Tadalafil 20mg, Oxytocin 100 ui, PT-141: 2mg

GOONING Max: Tadalafil 40mg, Oxytocin 200 ui, PT-141: 4mg

Patient Name & Address
SHIPPING ADDRESS
Payment
MedicationQuantityPrice
Gooning Max 10 troches
1
$120.00
Gooning Max 15 troches
1
$175.00
Gooning Max 20 troches
1
$230.00
Gooning Max 25 troches
1
$285.00
Gooning Max 30 troches
1
$340.00
Gooning 10 troches
1
$100.00
Gooning 15 troches
1
$145.00
Gooning 20 troches
1
$190.00
Gooning 25 troches
1
$235.00
Gooning 30 troches
1
$280.00
Shipping
1
$10.00
Order Summary
MedicationQuantityAmount
Gooning Max 10 troches1$ 120.00
Order Total
$0.00

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