If you have any questions regarding ingredients with this form,
please call 215-620-7776 or email to firstname.lastname@example.org
Monday-Friday, 8:00 am - 4:00 pm EST
Ephedrine hcl Order Requirements
This form must be filled out for Ephedrine hcl customers. After this form has been received by Supervita.com and it is on file, you won’t be required to submit again unless regulations change. Please fill out this form in its entirety. If any information is missing, your order cannot be processed. Your ID image must be smaller than 16 megabytes, if you require assistance please contact us. Please upload your image in GIF, JPEG, TIFF, or PNG format.