Want to Order by Mail or Fax?

BY MAIL: Print and Complete the Form Below and Mail the Completed Form with payment, or payment instructions, to:

PharmacyTrainer, Inc. • 13 Ryant Blvd. • Sebring, FL 33872

BY FAX: Print the Form Below, Fill it Out, Enter Your Payment Instructions, and FAX it to: (863)382-3612

WE CAN ALSO CALL YOU FOR YOUR PAYMENT INFORMATION IF YOU DO NOT FEEL COMFORTABLE SENDING IT BY FAX OR MAIL. JUST CHECK THE "I PREFER TO GIVE PAYMENT INFORMATION OVER THE PHONE" BOX IN THE "TYPE OF PAYMENT" SELECTIONS. BE SURE TO LIST THE TELEPHONE NUMBER YOU CAN BE REACHED AT DURING NORMAL BUSINESS HOURS.

Click on the link below to open the .pdf order form - then print the form on your printer

Print an order form