JUNE Specials Order Form

First name

Last name

Email

Have you already been seen by one of our providers?

Yes

No

Address for shipping (if applicable)

Birthday

Día

Mes

Año

Phone

*Payment Method

Use card on file

Contact me for payment

Cash in clinic

JUNE SPECIALS:

RETATRUTIDE

50mg $349

PEPTIDES:

BPC157 $229

MOTS-c $159

Tesamorelin $219

Sermorelin $199

GHK-cu $99

GLOW- $199

Wolverine Blend $179

CJC/ Ipamorelin $139

OTHER

IF OTHER: Please specify- we will call you with clinic promo pricing

Method

Ship to my home

Pick up in clinic

713 3rd Ave

Longmont, CO 80501

303-834-8376

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