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Prescription Refill Number:
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Choose one of the following options for your prescription refill..
I request the following pill prescription refill: 05 Viagra 100 mg. - �150.00  @�30 10 Viagra 100 mg. - �270.00  @�27 30 Viagra 100 mg. - �750.00  @�25 100 mg. Pills that will allow you to reduce your effective cost to �12.50 per dose by splitting them in half. How many of the above refills would you like to order at this time? 1 Refill   2 Refills   3 Refills
Send my prescription as indicated:
Garantee Next Day, UK Only	�08.00
Royal Mail (Recorded)	�06.00
Air Mail (Recorded) World Wide	�10.00 Please allow 3 days - 2 Weeks
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