Order Page ( Generally, we ship Priority mail within 2-3 business days. Typically, orders arrive within 7-10 days to US addresses, 2-4 weeks elsewhere. Please wait a day or two before calling us. We do not do overnight shipping. Sorry.
Notes: Please include the extra shipping for orders outside the US. Otherwise, we must cancel your order. Also, no orders from Korea or Italy please. We cannot guarantee delivery.
Or, Print, Fill out, and Mail or Fax the following form to
Peter H. Proctor, PhD, MD, 5555 W. Loop South, Suite 225
Bellaire, Texas 77401
Office: 713-960-1616, FAX: 713-662-2725
1-800-926-1752 (Voice line for orders only)
Payment: We accept credit cards, checks, or
money orders in US currency only.
Name:________________________________________
Street Address___________________________________
City__________________________St.________ postal code______________
Country______________
Credit card #___________________________________________Expires________
Card Member's signature__________________________________
Phone__________________________________
Proxiphen-N (nonprescription ) 2 Months $59.95
________
4 Months supply $109.95 _________
NANO Shampoo 3 Months supply $39.95 _________
NANO Conditioner 2 Months supply $29.95
___________
NANO Shampoo and Conditioner $59.95_____________
($10 Price Savings)
Proxiphen ( Prescription ) 1 Month $100.00_____________
(Requires physican diagnosis---Read first )
*Shipping and Handling, US, $9.50__________
*Shipping to Europe or Asia is $35.50._________
Total ____________