J. Di Bartolomeo, M.D., Inc.
2420 Castillo Street, Suite 100           
Santa Barbara, CA  93105-4346
Website: earfdn.org
E-mail: info@earfdn.org
Fax: (805) 563-2277

If you wish to order PatulEND directly, submit your request to earfdn@aol.com

ORDER FORM

SHIP TO :

Name: Address:
City: State:
Zip: Country:
Tel: Email:


I have been diagnosed with a Patulous Eustachian tube on the Right  / Left  / or Both side(s),
by , M.D., & or Self 

 

CODE ITEM SIZE      QTY PRICE
99070 Patul-END 0.5 oz     $48.00
* California Tax to increase April 1, 2017, from 7.50% to 9.75% based on city location

 

SHIPPING via:


 * where available. some countries may be higher. NOTE USPS PRICE RATES INCREASED ON FEBRUARY 2, 2017

 

HANDLING: $7.25

TOTAL:

 

PAYMENT METHOD:
Check: Payable to J. Di Bartolomeo, M. D., Inc.. Print Form and Mail with your Payment.
MasterCard Visa

Account No.:
Exp. Date:
Card Verification No.

 


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The topical nasal solution is a pure and natural nutrient, antioxidant tissue building proprietary formula to stimulate healing of the tissues and membranes when taken properly.
It contains no pharmaceuticals, botanicals or hormones, alcohol or sugar, artificial coloring or preservatives. Instructions for the nasal administration will be included.

Disclaimer Please Read: Information about PatulEND is not intended to convey any Medical advice to patients nor is it intended in any way to establish or contribute to a doctor patient relationship. It is intended only for the purpose of general information and description.
We look forward to being of service to you.

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