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Procerin Fax or Mail Order Form
Fill out this form online, then click the Print button to
print it to your computer. You can then fax it to us at;
(503) 295-7359

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Procerin Orders Dept.
818 SW 3rd Ave
Suite #220
Portland, OR 97204-2405

Your order will be processed on the next business day after receipt.

Thank You for your order!
The Procerin Staff.

Clinical Study Participants
 Procerin Combo

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" Since taking your product, I've noticed an increase in hair at my temples, and I no longer spend time cleaning my hair out of the shower drain! "

Andrew W,
age 26 Vancouver, WA

" Please find enclosed payment for 6 more bottles of Procerin, I have been very pleased with my new hair growth, something I never thought I would see again."

Eric R, age 41
Tempe, AZ

Order now risk-free, and discover what thousands of other men have found in their battle against hair loss. The only thing you have to lose is your self-consciousness about your hair loss!

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