Propecia Clinic

Non-Secure Order Form

To order any products from Propecia Clinic simply fill out and submit the order form below. Alternatively, you can print the order form out and fax a completed copy to Propecia Clinic at 1800 214 6126.

Worldwide standard mail delivery normally takes approximately 7-14 working days to most countries. All prices are listed in US dollars.

No personal interview with a doctor is necessary to obtain Propecia from Propecia Clinic.

Propecia (Merck) Packet of Propecia containing 28 x 1mg tablets

	1 x Packet of Propecia containing 28 x 1mg tablets	$69.00
	2 x Packet of Propecia containing 28 x 1mg tablets	$130.00
	3 x Packet of Propecia containing 28 x 1mg tablets	$180.00
	6 x Packet of Propecia containing 28 x 1mg tablets	$348.00
	12 x Packet of Propecia containing 28 x 1mg tablets	$672.00

Propecia 1mg (NZ Packaging) Packet of 28 x Propecia 1mg Tablets

	1 x Packet of 28 x Propecia 1mg Tablets	$69.00
	2 x Packet of 28 x Propecia 1mg Tablets	$136.00
	3 x Packet of 28 x Propecia 1mg Tablets	$201.00
	6 x Packet of 28 x Propecia 1mg Tablets	$396.00
	12 x Packet of 28 x Propecia 1mg Tablets	$780.00

Propecia 1mg (Turkish Packaging) Packet of 28 x Propecia 1mg Tablets

	1 x Packet of 28 x Propecia 1mg Tablets	$69.00
	2 x Packet of 28 x Propecia 1mg Tablets	$130.00
	3 x Packet of 28 x Propecia 1mg Tablets	$180.00
	6 x Packet of 28 x Propecia 1mg Tablets	$348.00
	12 x Packet of 28 x Propecia 1mg Tablets	$672.00

Finpecia (Generic Propecia) Strip of 10 x Finpecia (Generic Propecia) 1mg

	3 x Strip of 10 x Finpecia (Generic Propecia) 1mg	$18.00
	6 x Strip of 10 x Finpecia (Generic Propecia) 1mg	$33.00
	9 x Strip of 10 x Finpecia (Generic Propecia) 1mg	$49.50
	18 x Strip of 10 x Finpecia (Generic Propecia) 1mg	$81.00
	36 x Strip of 10 x Finpecia (Generic Propecia) 1mg	$144.00

Finax (Generic Propecia) Strip of 10 x Finax (Generic Propecia) 1mg

	3 x Strip of 10 x Finax (Generic Propecia) 1mg	$15.00
	6 x Strip of 10 x Finax (Generic Propecia) 1mg	$27.00
	10 x Strip of 10 x Finax (Generic Propecia) 1mg	$40.00
	20 x Strip of 10 x Finax (Generic Propecia) 1mg	$80.00
	30 x Strip of 10 x Finax (Generic Propecia) 1mg	$105.00

Nizoral 2% (Ketoconazole Shampoo) - 100mL Bottle of Nizoral 2% (Ketoconazole Shampoo) 100mL

	1 x Bottle of Nizoral 2% (Ketoconazole Shampoo) 100mL	$20.00
	2 x Bottle of Nizoral 2% (Ketoconazole Shampoo) 100mL	$35.00
	3 x Bottle of Nizoral 2% (Ketoconazole Shampoo) 100mL	$52.50
	6 x Bottle of Nizoral 2% (Ketoconazole Shampoo) 100mL	$90.00
	10 x Bottle of Nizoral 2% (Ketoconazole Shampoo) 100mL	$137.50

Rogaine (Regaine) Shampoo - Minoxidil 5% (60mL) Bottle of Rogaine (Regaine) Shampoo - Minoxidil 5%

	1 x Bottle of Rogaine (Regaine) Shampoo - Minoxidil 5%	$38.00
	2 x Bottle of Rogaine (Regaine) Shampoo - Minoxidil 5%	$76.00
	3 x Bottle of Rogaine (Regaine) Shampoo - Minoxidil 5%	$111.00
	6 x Bottle of Rogaine (Regaine) Shampoo - Minoxidil 5%	$216.00
	12 x Bottle of Rogaine (Regaine) Shampoo - Minoxidil 5%	$420.00

Mintop Forte (Minoxidil 5%) - 60mL Shampoo Bottle of Mintop Forte (Minoxidil 5%) 60mL Shampoo

	1 x Bottle of Mintop Forte (Minoxidil 5%) 60mL Shampoo	$14.00
	2 x Bottle of Mintop Forte (Minoxidil 5%) 60mL Shampoo	$28.00
	3 x Bottle of Mintop Forte (Minoxidil 5%) 60mL Shampoo	$39.00
	6 x Bottle of Mintop Forte (Minoxidil 5%) 60mL Shampoo	$72.00
	12 x Bottle of Mintop Forte (Minoxidil 5%) 60mL Shampoo	$144.00

Shipping Method

Regular Mail (approx 7-14 working days)

$7.50

Customer Details (Billing)

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PC-C-

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