Self-Service Order Form

I am seeking treatment for a:

Pet: It is suffering from:

Dosage Calculator

Disease:

Weight of pet kg (1 lb = 0.45 kg)

	Oral	Sub-cutaneous
Quantity per Dose:	ml	ml
Dose Frequency:	per day	per day
Quantity per Day:	ml	ml
Duration of Treatment:	days	days
Quantity needed over a course of Treatment:	ml	ml

Order Entry

Country:

Your location is served by our distributor. Please refer to our distributor list and you may contact them directly or submit your particulars through us.

Shipping is by FedEx or DHL Internationally

Standard shipping is by GLS, DPD or DHL, etc within Europe (From EUR 15-20)

DHL Express may be requested (EUR 50-75). Please indicate under “Other Request” in the next page.

Shipping is by FedEx or DHL Internationally (From USD 30)

Malaysia Standard: MYR 10 to 20 (up to 2 boxes)

Based on the information you have provided, the amount of RetroMAD1 needed for over a course of treatment will be:

Oral Dosage: ___ ml
Subcutaneous Dosage: ___ ml

RetroMAD1 comes in the following packaging

Pack Size	Retail Price	Quantity

Total Volume: 0 ml

Pack Size	Quantity
30ml Pack - 2 x 15ml bottles	Quantity:
90ml Pack - 6 x 15ml bottles	Quantity:
100ml Pack - 2 x 50ml bottles	Quantity:

Distributor List

Country	Distributor Name	Email	Phone
Brazil	Anhangava Consultoria Ltda	brasil@retromad1.com.br
China	Solpac Co. Ltd.	pets@solpac.com.cn
Indonesia	PT Ultra Medika	richardsgrt10@gmail.com	+62 82114674309
Japan	I & I Co. Ltd.	h.kato@iandi-design.jp
Malaysia	Solution4Paws Sdn. Bhd.	enquiry@solution4paws.com
Philippines	Peralta Veterinary Center, Inc.	info@peraltavetcenter.com	+63 09258426709
Romania	S.C. Timian Solutions s.r.l.	contact@retromad1.ro
Singapore	Retail sales - Tails Inc. Pte Ltd	hello@tailsinc.co
Singapore	Veterinary sales - Age d’Or Pte. Ltd.	jeremy@agedor.com.sg
South Korea	KBM Pharm Co. Ltd.	kbmpharm@kakao.com

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RetroMAD1 User Support Group Veterinary Clinic Social Media Webinar or Publication

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