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Order Form Download

download order form or contact usAre you ready to place an order?

Please click here to download an order form.

 

How to use this pdf order form:

1.  Download the form.

2.  Select and enter quantity of each medication you want to order.

3.  Select a shipping method..

4.  Fill out Customer Information and Payment information.

5.  Print out the order form.

6.  Sign and date the order form.

7.  Attach a valid prescription from your physician.

8.  Fax to Make Me Fertile 212-202-6379, or scan and email to customercare@makemefertile.com.

 

Please make sure to fill out the form before you print.

Fax to 212-202-6379 or scan and email to customercare@makemefertile.com.

 

For additional assistance, please call us at 866.989.0078.  We are ready to help!