When you process this form, certify that:
* you are older than 18 years.
* It has recently been physically examined and evaluated by a physician authorized to provide medical consultations and interventions.
* You have used this drug successfully and is making this request under the supervision of a physician and has been recommended after a medical examination that the use of this drug is not harmful to your needs and medical treatment.
* He is asking this medication prescribed exclusively for personal use and not distributed or sold to third parties.
* Is herewith requesting this medication prescribed by your doctor capacity and not as a substitute for a recipe request authorized by this virtual pharmacy.
* Requesting a recipe for this drug for the treatment necessary supplies and not for the purpose of storing it in larger amounts than you need.
* I am in contact with a local doctor immediately for any necessary medical intervention if a complication or concern result in any connection with the use of a treatment order.
* This permitted by law to use the credit card that will be used if your request is approved and processed.
* You have answered and will answer all questions truthfully, for their own safety, just as you would in doctors' offices and in the care of their local doctor.
* you realizes that there are risks as well as benefits to any medication, including drugs available without prescriptions. Having been informed of possible effects, I consent to the terms.
* I declare that I know that the order will be under my name will be provided by Pharmacepticals Inc.
* This permitted by law in your area to receive the medication requested, and be responsible for the authorization of the office and for any additional tax that might arise.
* Declares that you agree with the delivery time of up to 10 days.
* Sure you want to receive monthly newsletters and any special proposal for this.
We value our customers above all. Your privacy and security are very important to us, and will not be compromised. Our company and this site contend that their information is secure, and have taken steps to ensure this.
Any information provided by our customers will never be shared, sold, or disclosed to any third party.