PELLET ORDER FORM
ALL ORDERS MUST BE SHIPPED TO ADDRESS AS LISTED ON CURRENT DEA LICENSE.
ESTRADIOL 
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
TESTOSTERONE
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
arrow&v
TESTOSTERONE/ANASTRAZOLE COMBO PELLET
arrow&v
arrow&v
arrow&v
DISPOSABLE TROCAR KITS
REUSABLE TROCAR KITS
PLEASE NOTE: THE TURN AROUND TIME ON REUSABLE TROCAR SETS CAN BE LONGER THAN THE DISPOSABLE KITS
ALL ORDERS RECEIVED AFTER 3 P.M. CST WILL BE PROCESSED THE FOLLOWING BUSINESS DAY.
SHIPPING INFORMATION (check one):
QUALGEN WILL PAY REGULAR GROUND ON ALL ORDERS OVER $2,000.