Are 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 firstname.lastname@example.org.
Please make sure to fill out the form before you print.
Fax to 212-202-6379 or scan and email to email@example.com.
For additional assistance, please call us at 866.989.0078. We are ready to help!