iProb Order Form Order a package of iProb: Probiotic combination consisting of a synergic combination of three species of Lactobacilli with a Streptococcus thermophilus adjuvant. Complete all fields to successfully complete your order. Package*: Pack of 10 sachets of 3,3 g Number of packages: 0 1 2 3 4 5 6 7 8 9 Cost euro 17,00 per package + shipping costs Pack of 30 sachets of 3,3 g Number of packages: 0 1 2 3 4 5 6 7 8 9 Cost euro 46,20 per package + shipping costs Pack of 60 bustine of 3,3 g Number of packages: 0 1 2 3 4 5 6 7 8 9 Cost euro 90,00 per package + shipping costs Send to: Name and Surname* Address* Postal code* City* State* Phone* e-mail* Taxe code* Notes Collect on delivery (COD). To order by mail please send this form to: ANALLERGO S.p.A. - Viale N. Iotti 7- 50038 Scarperia e San Piero (FI) Please note that the information provided will be treated according to the “Code regarding the protection of personal data” Legislative Decree 196/03, and you can at any time exercise the right to delete, modify or supplement, as per Art .7 upon request to the controller: ANALLERGO-S.p.A. Viale N. Iotti 8-50038 Scarperia e San Piero (FI). Note also that data will be used for the sole purpose of providing this service and that any cancellation of these data preclude the possibility of providing the service.