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Get Au Green Dispensary Compounded Prescription Order Form 2014-2024

R (if applicable) Special Instructions Total Number of items ordered Preferred avour (for troches, sublingual drops, etc.) Banana Spearmint Grape GD berry Raspberry Lemon Butter rum Strawberry Lemon lime Bubblegum Vanilla Marshmallow Apple GD mocha Peppermint Choc hazelnut Cherry Pineapple Lime Blueberry Tutti frutti Kahlua Butterscotch Coconut Orange cream Chocolate Strawberry cream Cola Creme de menthe Raspberry cream SEND By law, your original prescription will be required on collect.

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