Daniels Croup Ointment 
Non-Secure Order Form

 Qty
2 oz. jars at $3.99 each
4 oz. jars at $7.49 each
+Tax (5% Idaho Residents Only)

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Allow 2 weeks for delivery
Thank You

Allen Drug
4 North Main
Malad Idaho 83252
Fax 1-208-766-2856