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    PRODUCT CODE


    NAME


    QUANTITY


    UNIT PRICE


    TOTAL

    32010

    OPTHAL GEL 10 g

    $7.90

     

    S&H

    SHIPPING AND HANDLING

    1

    $15.00

     


    TOTAL

    Minimum order quantity is 12 units

    KINDLY FILL IN ALL INFORMATION REQUESTED

    NAME OF DOCTOR/CLINIC:
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    *Tear Gel is a trademark of Alcon Pharma Inc.
    Opthal Gel is a trademark of Stom Pharma Inc.