1meds.com - Order Form

Please print clearly. 



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Shipping Information 
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Name and last name :   
Full Address :
Country   
Tel :   
Fax :   
 
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Billing Information  
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Same as Shipping Address (Yes or No): 

If 'No' please fill in the following

Name and Last name :   
Full Address : 
Country  
Tel :   
Fax :  
 
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Item Information  
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All Prices Are Final. Shipping and handing are included.(not include express parcel)

Item 1:
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Product Name, Manufacturer, Size , Qty.,Price 


Item 2:
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Product Name, Manufacturer, Size , Qty.,Price
 

Item 3:
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Product Name, Manufacturer, Size , Qty.,Price 


Item 4:
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Product Name, Manufacturer, Size , Qty.,Price 


Item 5:
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Product Name, Manufacturer, Size , Qty.,Price
 




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Other Information 
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Your Email :  
*Please fill in your email address in order to get email confirm order from us 

Payment :  
1. Western Union & MoneyGram (5% discount from total prices) (yes or no). 
2. Credit Card (yes or no)

Shipment :  
1. Standard (Free Worldwide Shipping)(yes or no)
2. Express (Additional Charge 35 USD) (yes or no)
The arrival period approximately 3-5 days from shipping date. We can't
ship express to USA

Please inform us by answering yes or no. 


 
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IMPORTANT MESSAGE!!!
WE'LL CHECK OUR STOCK FOR YOUR ORDER(S). IF OUR STOCK AVAILABLE. 
WE'LL SEND YOU CONFIRM EMAIL AND BRING YOU TO OUR CREDIT CARD PAYMENT PAGE. 
ON YOUR STATEMENT WILL NOT SHOW THAT YOU PURCHASE MEDICATION FROM US.  
WE'LL CONTACT YOU WITHIN 24 HOURS 
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Please save and attach this file with your email and send it to
customerservices@1meds.com. Please put subject as "1meds mail order" 


Thanks you very much

1meds.com Drugstore Online