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Flu Vaccine Order Forms

To order your flu vaccine, please download and fax the appropriate form.

1. Complete and sign the order form.
2. Fax completed form to (800) 418-4333.

    2013-14 Order Form (.pdf)

 

Order Tamiflu


To order Tamiflu, please download and fax
the form below:

1. Complete and sign the order form.
2. Fax completed form to (800) 418-4333.

    Order Form (.pdf)

 

To view PDFs, download the free Adobe Acrobat® Reader.

Thank you for trusting FFF Enterprises' Guaranteed Channel Integrity for your secure supply of specialty pharmaceuticals.