Full name * Age * Please select your age?21222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130 Your email * Your phone * Address * City * State/Province/Region * Address * Country * SELECT COUNTRYUnited States of AmericaAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo (Congo-Brazzaville)Costa RicaCroatiaCubaCyprusCzech RepublicDemocratic Republic of the Congo (Congo-Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe What form of Nembutal do you need? * NEMBUTAL POWDERNEMBUAL ORAL LIQUIDNEMBUTAL INJECTIONNEMBUTAL TABLETS [group Liquid] Select Quantity * SELECT DOSAGE75ml Nembutal Oral Liquid (for a patient whose body weight is less than 100lb) $320100ml Nembutal Oral Liquid (for a patient whose body weight ranges between 100lb and 135lb) $420250ml Nembutal Oral Liquid (for a patient whose body weight is above 135lb) $600 [/group] [group Powder] Select Quantity * SELECT DOSAGE15g Nembutal Pentobarbital Natrium (for a patient whose body weight is less than 100lb) $30020g Nembutal Powder (for a patient with body weight ranges between 100lb-135lb) $40025g Nembutal Powder (for a patient whose body weight is above 135lb) $520 [/group] [group Injectable] Select Quantity * SELECT DOSAGE25ml Nembutal Pentobarbital Sodium Solution for Injection (for patient whose body weight is less than 100lb) $25050ml Nembutal Pentobarbital Sodium Solution for Injection (for patient with body weight ranges between 100lb -135lb) $390100ml Nembutal Pentobarbital Sodium Solution for Injection (for patient whose body weight is above 135lb) $600 [/group] [group tablets] Select Quantity * SELECT DOSAGE20/50mg Butalbital Acetamenophen tablets (for patient whose body weight is less than 100lb) $25050/50mg Butalbital Acetamenophen tablets (for patient with body weight ranges between 100lb -135lb) $40075/100mg Butalbital Acetamenophen tablets (for patient whose body weight is above 135lb) $500 [/group] Product Addons Barbiturate test kit +35USDAntiemetic pills +15USD What payment options are most suitable for you? Cryptocurrency (Most Recommended)Western UnionZelle PayCash AppChime Additional information or Special request By submitting this form I Acknowledge that I am 21 years of age or older and fully understand that Nembutal is a controlled substance with serious legal and health risks. By proceeding, I agree to take full responsibility for its legal and ethical use.