HANDY REFILL ORDER FORM

PRESCRIPTION REFILLS

 

Name
E-mail
Telephone Number
Prescription Numbers	RX 1
	RX 2
	RX 3
	RX 4
Pick UP -FedEx or U.S. Mail
Comments

TO DELIVER PACKAGES ON TIME WE NOW USE FEDEX

AS AN OPTION TO MAIL YOUR PRESCRIPTIONS.

MOST PACKAGES DELIVERED IN 2-3 DAYS.  

FLAT RATE OF $7.50 (handling included)

WE ARE SORRY THAT THE US POSTAL SERVICE

CANNOT MEET OUR CUSTOMERS NEEDS DURING  

COLD OR VERY HOT WEATHER

THANK YOU FOR UNDERSTANDING!

Copyright (c) 2004 Excel Apothecary. All rights reserved.