TRYIBOGAINE ORDER FORM
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IBOGA ROOT BARK SHAVINGS
$
170.00
Quantity
1
2
3
4
5
6
7
8
9
10
Quantity in grams
50 grams
80 grams
100 grams
150 grams
200 grams
250 grams
500 grams
1000 grams (1 kg)
Item subtotal:
$
0.00
IBOGA ROOT BARK POWDER
$
170.00
Quantity
1
2
3
4
5
6
7
8
9
10
Quantity in grams
50 grams
80 grams
100 grams
150 grams
200 grams
250 grams
500 grams
1000 grams (1 kg)
Item subtotal:
$
0.00
IBOGA TA ( TOTAL ALKALOID EXTRACTS )
$
170.00
Quantity
1
2
3
4
5
6
7
8
9
10
Quantity in grams
2 grams
5 grams
8 grams
10 grams
15 grams
20 grams
IBOGAINE HCl
$
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
1 gram
2 grams
3 grams
4 grams
5 grams
10 grams
IBOGA TABERNANTHE SEEDS
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Number of seeds
50 seeds
100 seeds
200 seeds
500 seeds
Payment Method
Cryptocurrency (USDT) 5% reduction
Money Gram
Bank Transfer
World Remit
Western Union
Other
Special Instructions
Desired Delivery Date
-
Month
-
Day
Year
Date
Customer Details
Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Delivery Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reminders:
After submitting this form, we'll check your order and we'll contact you within 24 hours for confirmation.
The turn around time depends on the ordered items.
Taxes and Shipping Fee will be applied for every order.
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