Baldness Treatment Order Online Case Study Directions Bookmark


Order Online

 TO ORDER ONLINE PLEASE REGISTER FIRST BY COMPLETING THE FORM
 *=Required Field

Your name:

 *

email address:

 *

Postal address:

 *

Country:

 *

Your age:

 *

What colour is your hair

 *

Male or Female

 Male Female   *

Degree of Baldness
(see chart below)

 I II IIA III IIIA IIIvertex
IV IVA V VA VI VII    *

When did the baldness
first start (approx.)

 1 to 2 years ago 2 to 4 years ago 4 to 6 years ago
6 to 8 years ago 8 to 10 years ago 10+ years ago

Have you ever received
any treatment for baldness

 No Yes

If 'Yes' please explain
(optional)

List any medical conditions e.g. cardiovascular, arthritis etc. (optional)

Would you like to try a
120ml sample of treatment

 No Yes

Treatment & Postage Costs

Treatment Vol.  THB AUD NZD   JPY SGD Euro GBP USD
  120ml (sample)** 0300 010 013 00838 013 007 006 009
  750ml 1875   64   82   5237   81   42   37   57
1500ml 3750 128 164 10474 161   84   74 113
2250ml 5625 192 246 15711 242 126 111 170
3000ml 7500 256 328 20948 323 169 147 227
                 
Postage EMS*  THB AUD NZD   JPY SGD Euro GBP USD
  120ml (sample)** 00free 006 007 00422 006 004 003 005
  750ml 00free   4242 054 02514 032 036 031 047
1500ml 00free 051   65 02933 037 041 036   58
2250ml 00free   67   86 03771 043 052 045   79
3000ml 00free   74   94 04190 046 056 049   89
                 
TOTAL  THB AUD NZD   JPY SGD Euro GBP USD
  120ml (sample)** 0300 016 020 01260 019 011 009 014
  750ml 1875 106 136   7751 113   78   68 104
1500ml 3750 179 229 13406 198 125 109 171
2250ml 5625 259 332 19481 285 178 156 249
3000ml 7500 330 422 25137 369 225 197 316
                 
                 
                 
Extra Dry 120ml 00750 026 033 02095 032 017 015 023

* EMS = Express Mail Service + online tracking.
** The sample is enough for 1 application for upto 3 hours treatment (see Directions for use No. 1). It will be sent via air mail + registered post.