� I am requesting medicinal/cosmetic product solely for the purpose of my own use.
� I will use this medication/cosmetic product according to the instructions given by my physician/cosmetologist.
� I will contact immediately my personal physician/cosmetologist in case of any complication concerning the ordered medication.
� I have checked the local laws regarding the importation of medication/cosmetics and it is legal for me to order.
� I am old enough to order medications/cosmetics and use the credit card or any kind of payment I choose according to my local laws.
� I will not hold www.goldherbals.com or any partner responsible for any misuse, or legal matter related to the purchase of my medications/cosmetics.
� I am acting on my own behalf, at my own risk and my own liability and assume all responsibility for the purchasing and use of my medications/cosmetics.
� I am requesting that a licensed prescriber/cosmetologist act only in an adjunct capacity to my local physician/cosmetologist, not replace my local physician/cosmetologist, when reviewing my request and if authorizing a particular product for dispensing by the virtual store associated employee.
� I am seeking the order for a necessary supply of cosmetics and supplements, not to stockpile beyond an already adequate supply on hand
� I have and will answer all questions truthfully, for my safety, just as I would in my local physician's/cosmetologist office and care,
� I realize there are risks as well as benefits to any medications/cosmetic products, even OTC items, and having been informed of possible effects, I consent to treatment as I may request.
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