Precision • Purity • Performance
Wholesale / Med Spa Research Order Form
10-vial packs unless otherwise shown
How to use: Fill in your details and quantities. Totals calculate automatically. When finished, tap Save / Print Completed Form and save it as a PDF, then attach that PDF to your reply email. No special software is required.

Business & Contact Information

Billing & Shipping

Order

Product / StrengthPack PriceQtyLine Total
Retatrutide
10×20mg
$799.00 $0.00
Tirzepatide
10×20mg
$725.00 $0.00
Cagrilintide/Semaglutide
10×5/5mg
$625.00 $0.00
Semaglutide
10×5mg
$399.00 $0.00
MOTS-C
10×20mg
$495.00 $0.00
5-Amino-1MQ
10×5mg
$295.00 $0.00
BPC-157/TB-500
10×5/5mg
$395.00 $0.00
IGF-1 LR3
10×1mg
$495.00 $0.00
LL-37
10×5mg
$350.00 $0.00
BPC-157
10×10mg
$399.00 $0.00
HGH-191AA
10×15IU
$320.00 $0.00
TB-500
10×10mg
$450.00 $0.00
GLOW
10×50/10/10mg
$450.00 $0.00
Ipamorelin/CJC-1295
10×5/5mg
$395.00 $0.00
Tesamorelin
10×10mg
$450.00 $0.00
Sermorelin
10×5mg
$275.00 $0.00
GHK-Cu
10×50mg
$295.00 $0.00
NAD+
10×100mg
$295.00 $0.00
HCG
10×10,000IU
$300.00 $0.00
Selank
10×10mg
$250.00 $0.00
PT-141
10×10mg
$250.00 $0.00
Semax
10×10mg
$250.00 $0.00
Melanotan II
10×10mg
$235.00 $0.00
Bacteriostatic Water
10×10ml
$65.00 $0.00

Order Summary

Subtotal
$0.00
Shipping
Sales Tax
Order Total
$0.00

Payment Method

Payment instructions are provided after order review. Do not enter bank passwords or account login credentials on this form.

Notes & Authorization

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