Medical,surgical,dental,clinical supplies.
Colon cancer self screening test.
Pregnancy Tests-All Brands.
Clinical Laboratory Supplies.
Family Health Brand-Vitamins(site 1)
Family Health Brand-Vitamins(site 2)
Please print this form and mail to:
INTERNATIONAL HEALTHCARE SUPPLY CORPORATION
3165 VENARD ROAD
DOWNERS GROVE, ILLINOIS 60515, U.S.A
PHONE: 630-963-3573;Fax: 630-963-1990
E-MAIL: TERSYLAS@AOL.COM
SHIP TO/GIFT TO: NAME: ____________________________________
Address: _______________________________________________________
City: __________________ State: ____________ Zip: __________
Phone: ___________________ Fax: ________________ E-mail: __________
Send Check or money order or charge to VISA or MASTERCARD
CHARGE CARD: VISA / MASTERCARD CARD
Card Number: __________________________ Expiration: _______________
Signature: _____________________________ Date: ___________________
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