|
To order: |
|
|
▪ Click
on "Add to Cart" below and complete your purchase |
▪ Call: toll-free - 1-888-325-2395 |
|
|
▪ Print and mail this page to:
|
OcuDerma® Introductory Offer
121 Queen Guinevere Court
Hutchinson Island, FL 34949 |
|
▪ Copy and paste this page in an email to:
|
ocuderma@mediniche.com |
▪ Print this page and fax to: 734-661-0347 |
|
|
|
Account Name: _______________________
Address: ____________________________
City, State, Zip: _______________________
Phone: _____-_____-___________
email: _______________________
¨ Visa
¨
MasterCard
Card# _____ _____ _____ _____
Exp. Date: __________________
CVV Code: ________ |
|