{"id":2169,"date":"2019-07-08T09:42:15","date_gmt":"2019-07-08T09:42:15","guid":{"rendered":"https:\/\/nembutalsolution.org\/appointment\/"},"modified":"2026-05-28T11:52:09","modified_gmt":"2026-05-28T11:52:09","slug":"comprar-nembutal-en-linea","status":"publish","type":"page","link":"https:\/\/nembutalsolution.org\/es\/order-nembutal-online\/","title":{"rendered":"Orden Nembutal"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p><style id=\"wpforms-css-vars-5448\">\n\t\t\t\t#wpforms-5448 {\n\t\t\t\t--wpforms-field-border-radius: 6px;\n--wpforms-field-background-color: rgba(255, 255, 255, 0.8);\n--wpforms-field-border-color: #a3a9c2;\n--wpforms-field-border-color-spare: #a3a9c2;\n--wpforms-field-text-color: #6a6a6a;\n--wpforms-label-color: #000000;\n--wpforms-label-sublabel-color: #6a6a6a;\n--wpforms-label-error-color: #d80f0f;\n--wpforms-button-border-radius: 5px;\n--wpforms-button-background-color: #2f590f;\n--wpforms-button-border-color: #2f590f;\n--wpforms-container-padding: 60px;\n--wpforms-container-border-radius: 10px;\n--wpforms-background-color: #e5e6ea;\n--wpforms-background-image: stock;\n--wpforms-background-position: top right;\n--wpforms-field-menu-color: #e5e6ea;\n--wpforms-page-break-color: #2f590f;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: 0px 30px 50px -10px rgba(0, 0, 0, 0.15);\n\n\t\t\t}\n\t\t\t<\/style><style id=\"wpforms-css-vars-5448-custom-css\">\n\t\t\t\t#wpforms-5448 {\n\t\t\t\t\t\/* ====================== PROFESSIONAL WPFORMS STYLING - Form 2076 ====================== *\/\r\n\r\n#wpforms-2076 {\r\n    background-color: #ffffff;\r\n    padding: 40px 35px;\r\n    border-radius: 12px;\r\n    box-shadow: 0 10px 30px rgba(0, 0, 0, 0.08);\r\n    max-width: 680px;\r\n    margin: 0 auto;\r\n}\r\n\r\n\/* Labels *\/\r\n#wpforms-2076 .wpforms-field-label {\r\n    font-weight: 600;\r\n    color: #1e2937;\r\n    margin-bottom: 8px;\r\n    font-size: 15px;\r\n}\r\n\r\n\/* Fix Radio Buttons Overlap - Main Fix *\/\r\n#wpforms-2076 .wpforms-field-radio li {\r\n    margin-bottom: 20px !important;\r\n    padding: 4px 0;\r\n}\r\n\r\n#wpforms-2076 .wpforms-field-radio label {\r\n    display: flex !important;\r\n    align-items: center !important;\r\n    gap: 14px !important;\r\n    font-size: 16px;\r\n    line-height: 1.5;\r\n    cursor: pointer;\r\n}\r\n\r\n#wpforms-2076 .wpforms-field-radio input[type=&quot;radio&quot;] {\r\n    margin-right: 12px !important;\r\n    width: 20px;\r\n    height: 20px;\r\n    transform: scale(1.12);\r\n    flex-shrink: 0;\r\n}\r\n\r\n\/* Input Fields *\/\r\n#wpforms-2076 input[type=&quot;text&quot;],\r\n#wpforms-2076 input[type=&quot;email&quot;],\r\n#wpforms-2076 input[type=&quot;tel&quot;],\r\n#wpforms-2076 input[type=&quot;number&quot;],\r\n#wpforms-2076 textarea,\r\n#wpforms-2076 select {\r\n    border: 2px solid #e2e8f0;\r\n    border-radius: 8px;\r\n    padding: 14px 16px;\r\n    font-size: 16px;\r\n    color: #1e2937;\r\n    transition: all 0.3s ease;\r\n    width: 100%;\r\n    box-sizing: border-box;\r\n}\r\n\r\n#wpforms-2076 input:focus,\r\n#wpforms-2076 textarea:focus,\r\n#wpforms-2076 select:focus {\r\n    border-color: #066aab;\r\n    box-shadow: 0 0 0 3px rgba(6, 106, 171, 0.15);\r\n    outline: none;\r\n}\r\n\r\n\/* Submit Button *\/\r\n#wpforms-2076 .wpforms-submit-container button[type=&quot;submit&quot;] {\r\n    background-color: #066aab;\r\n    color: #ffffff;\r\n    font-weight: 600;\r\n    font-size: 17px;\r\n    padding: 16px 32px;\r\n    border-radius: 8px;\r\n    border: none;\r\n    transition: all 0.3s ease;\r\n    width: 100%;\r\n}\r\n\r\n#wpforms-2076 .wpforms-submit-container button[type=&quot;submit&quot;]:hover {\r\n    background-color: #05568f;\r\n    transform: translateY(-2px);\r\n    box-shadow: 0 8px 20px rgba(6, 106, 171, 0.25);\r\n}\r\n\r\n\/* Field Spacing *\/\r\n#wpforms-2076 .wpforms-field {\r\n    margin-bottom: 24px;\r\n}\r\n\r\n\/* Responsive *\/\r\n@media (max-width: 640px) {\r\n    #wpforms-2076 {\r\n        padding: 25px 20px;\r\n    }\r\n}\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-5448\"><form id=\"wpforms-form-5448\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"5448\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/es\/wp-json\/wp\/v2\/pages\/2169\" data-token=\"380aaef69b4236826af806b855d895ac\" data-token-time=\"1780168153\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-5448-field_26-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"26\"><div id=\"wpforms-5448-field_26\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-5448-field_26-error\"><h4>Fill the form below to place an order<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-5448-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-5448-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-5448-field_1-error\" required><label for=\"wpforms-5448-field_1\" class=\"wpforms-field-sublabel after\">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-5448-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-5448-field_1-last-error\" required><label for=\"wpforms-5448-field_1-last\" class=\"wpforms-field-sublabel after\">Apellidos<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-5448-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-5448-field_2\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-5448-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-5448-field_2-error\" required><\/div><div id=\"wpforms-5448-field_3-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-5448-field_3\">Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-5448-field_3\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][3]\" aria-label=\"Phone\" aria-errormessage=\"wpforms-5448-field_3-error\" required><\/div><div id=\"wpforms-5448-field_16-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"16\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-5448-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-5448-field_14\">Body Weight (Lbs) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5448-field_14\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-5448-field_14-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-5448-field_15-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-5448-field_15\">Age <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"number\" id=\"wpforms-5448-field_15\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][15]\" min=\"21\" max=\"150\" step=\"any\" aria-errormessage=\"wpforms-5448-field_15-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><\/div><\/div><\/div><\/div><div id=\"wpforms-5448-field_18-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-5448-field_18\">Product Formulation <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-5448-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>--- Select formulation ---<\/option><option value=\"Nembutal Powder\" >Nembutal Powder<\/option><option value=\"Nembutal Oral Solution\" >Nembutal Oral Solution<\/option><option value=\"Injectable Nembutal Solution\" >Injectable Nembutal Solution<\/option><option value=\"Nembutal Pills\/tablets\" >Nembutal Pills\/tablets<\/option><\/select><\/div><div id=\"wpforms-5448-field_5-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"5\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Dosage (g) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-5448-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-5448-field_5_1\" class=\"wpforms-payment-price\" data-amount=\"380\" name=\"wpforms[fields][5]\" value=\"1\" aria-errormessage=\"wpforms-5448-field_5_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_5_1\">9g Nembutal Powder(Body weight less than 100lb) - <span class=\"wpforms-currency-symbol\">&#8364;380<\/span><\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-5448-field_5_2\" class=\"wpforms-payment-price\" data-amount=\"420\" name=\"wpforms[fields][5]\" value=\"2\" aria-errormessage=\"wpforms-5448-field_5_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_5_2\">12g Nembutal Powder(Body weight ranges between 100lb - 135lb) - <span class=\"wpforms-currency-symbol\">&#8364;420<\/span><\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-5448-field_5_3\" class=\"wpforms-payment-price\" data-amount=\"530\" name=\"wpforms[fields][5]\" value=\"3\" aria-errormessage=\"wpforms-5448-field_5_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_5_3\">15g Nembutal Powder(Body weight above 135lb) - <span class=\"wpforms-currency-symbol\">&#8364;530<\/span><\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-5448-field_19-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"19\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Dosage (ml) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-5448-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-5448-field_19_1\" class=\"wpforms-payment-price\" data-amount=\"385\" name=\"wpforms[fields][19]\" value=\"1\" aria-errormessage=\"wpforms-5448-field_19_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_19_1\">200ml Nembutal Oral Liquid(Body weight less than 100lb) - <span class=\"wpforms-currency-symbol\">&#8364;385<\/span><\/label><\/li><li class=\"choice-4\"><input type=\"radio\" id=\"wpforms-5448-field_19_4\" class=\"wpforms-payment-price\" data-amount=\"506\" name=\"wpforms[fields][19]\" value=\"4\" aria-errormessage=\"wpforms-5448-field_19_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_19_4\">250ml Nembutal Oral Liquid(Body weight ranges between 100lb - 135lb) - <span class=\"wpforms-currency-symbol\">&#8364;506<\/span><\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-5448-field_19_2\" class=\"wpforms-payment-price\" data-amount=\"600\" name=\"wpforms[fields][19]\" value=\"2\" aria-errormessage=\"wpforms-5448-field_19_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_19_2\">300ml Nembutal Oral Liquid(Body weight above 135lb) - <span class=\"wpforms-currency-symbol\">&#8364;600<\/span><\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-5448-field_20-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"20\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Dosage <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-5448-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-5448-field_20_1\" class=\"wpforms-payment-price\" data-amount=\"300\" name=\"wpforms[fields][20]\" value=\"1\" aria-errormessage=\"wpforms-5448-field_20_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_20_1\">25ml Injectable Nembutal Solution(Body Weight less than 100lb) - <span class=\"wpforms-currency-symbol\">&#8364;300<\/span><\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-5448-field_20_2\" class=\"wpforms-payment-price\" data-amount=\"410\" name=\"wpforms[fields][20]\" value=\"2\" aria-errormessage=\"wpforms-5448-field_20_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_20_2\">50ml Injectable Nembutal Solution(Body weight ranges between 100l - 135lb) - <span class=\"wpforms-currency-symbol\">&#8364;410<\/span><\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-5448-field_20_3\" class=\"wpforms-payment-price\" data-amount=\"600\" name=\"wpforms[fields][20]\" value=\"3\" aria-errormessage=\"wpforms-5448-field_20_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_20_3\">100ml Injectable Nembutal Solution(Body weight above 135lb) - <span class=\"wpforms-currency-symbol\">&#8364;600<\/span><\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-5448-field_21-container\" class=\"wpforms-field wpforms-field-payment-multiple wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"21\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Dosage (1000mg\/tabs) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-5448-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"radio\" id=\"wpforms-5448-field_21_1\" class=\"wpforms-payment-price\" data-amount=\"360\" name=\"wpforms[fields][21]\" value=\"1\" aria-errormessage=\"wpforms-5448-field_21_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_21_1\">18 Nembutal pills(Body weight less than 100lb) - <span class=\"wpforms-currency-symbol\">&#8364;360<\/span><\/label><\/li><li class=\"choice-2\"><input type=\"radio\" id=\"wpforms-5448-field_21_2\" class=\"wpforms-payment-price\" data-amount=\"415\" name=\"wpforms[fields][21]\" value=\"2\" aria-errormessage=\"wpforms-5448-field_21_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_21_2\">24 Nembutal pills(Body weight between 100lb - 135lb) - <span class=\"wpforms-currency-symbol\">&#8364;415<\/span><\/label><\/li><li class=\"choice-3\"><input type=\"radio\" id=\"wpforms-5448-field_21_3\" class=\"wpforms-payment-price\" data-amount=\"510\" name=\"wpforms[fields][21]\" value=\"3\" aria-errormessage=\"wpforms-5448-field_21_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_21_3\">30 Nembutal pills(Body weight above 135lb) - <span class=\"wpforms-currency-symbol\">&#8364;510<\/span><\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-5448-field_22-container\" class=\"wpforms-field wpforms-field-payment-checkbox wpforms-list-inline\" data-field-id=\"22\"><fieldset><legend class=\"wpforms-field-label\">Additional Options<\/legend><ul id=\"wpforms-5448-field_22\" class=\"wpforms-icon-choices wpforms-icon-choices-default wpforms-icon-choices-small\" style=\"--wpforms-icon-choices-color: #066aab;\"><li class=\"choice-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_22_1\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"32px\" viewBox=\"0 0 576 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M112 96c-26.5 0-48 21.5-48 48V256h96V144c0-26.5-21.5-48-48-48zM0 144C0 82.1 50.1 32 112 32s112 50.1 112 112V368c0 61.9-50.1 112-112 112S0 429.9 0 368V144zM554.9 399.4c-7.1 12.3-23.7 13.1-33.8 3.1L333.5 214.9c-10-10-9.3-26.7 3.1-33.8C360 167.7 387.1 160 416 160c88.4 0 160 71.6 160 160c0 28.9-7.7 56-21.1 79.4zm-59.5 59.5C472 472.3 444.9 480 416 480c-88.4 0-160-71.6-160-160c0-28.9 7.7-56 21.1-79.4c7.1-12.3 23.7-13.1 33.8-3.1L498.5 425.1c10 10 9.3 26.7-3.1 33.8z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-5448-field_22_1\" class=\"wpforms-payment-price wpforms-screen-reader-element\" data-amount=\"15\" name=\"wpforms[fields][22][]\" value=\"1\" aria-errormessage=\"wpforms-5448-field_22_1-error\"  >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">Zofran (antiemetic pills) - <span class=\"wpforms-currency-symbol\">&#8364;15<\/span><\/span>\n\t\t\t<\/label><\/li><li class=\"choice-2 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_22_2\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"32px\" viewBox=\"0 0 640 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M112 0C85.5 0 64 21.5 64 48V96H16c-8.8 0-16 7.2-16 16s7.2 16 16 16H64 272c8.8 0 16 7.2 16 16s-7.2 16-16 16H64 48c-8.8 0-16 7.2-16 16s7.2 16 16 16H64 240c8.8 0 16 7.2 16 16s-7.2 16-16 16H64 16c-8.8 0-16 7.2-16 16s7.2 16 16 16H64 208c8.8 0 16 7.2 16 16s-7.2 16-16 16H64V416c0 53 43 96 96 96s96-43 96-96H384c0 53 43 96 96 96s96-43 96-96h32c17.7 0 32-14.3 32-32s-14.3-32-32-32V288 256 237.3c0-17-6.7-33.3-18.7-45.3L512 114.7c-12-12-28.3-18.7-45.3-18.7H416V48c0-26.5-21.5-48-48-48H112zM544 237.3V256H416V160h50.7L544 237.3zM160 368a48 48 0 1 1 0 96 48 48 0 1 1 0-96zm272 48a48 48 0 1 1 96 0 48 48 0 1 1 -96 0z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-5448-field_22_2\" class=\"wpforms-payment-price wpforms-screen-reader-element\" data-amount=\"50\" name=\"wpforms[fields][22][]\" value=\"2\" aria-errormessage=\"wpforms-5448-field_22_2-error\"  >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">Express Shipping - <span class=\"wpforms-currency-symbol\">&#8364;50<\/span><\/span>\n\t\t\t<\/label><\/li><li class=\"choice-3 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_22_3\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"32px\" viewBox=\"0 0 640 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M480 416h96c35.3 0 64-28.7 64-64V160c0-35.3-28.7-64-64-64H480V416zM448 96H192V416H448V96zM64 96C28.7 96 0 124.7 0 160V352c0 35.3 28.7 64 64 64h96V96H64zM248 208a24 24 0 1 1 48 0 24 24 0 1 1 -48 0zm120-24a24 24 0 1 1 0 48 24 24 0 1 1 0-48zM248 304a24 24 0 1 1 48 0 24 24 0 1 1 -48 0zm120-24a24 24 0 1 1 0 48 24 24 0 1 1 0-48z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-5448-field_22_3\" class=\"wpforms-payment-price wpforms-screen-reader-element\" data-amount=\"35\" name=\"wpforms[fields][22][]\" value=\"3\" aria-errormessage=\"wpforms-5448-field_22_3-error\"  >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">Barbiturate test kit - <span class=\"wpforms-currency-symbol\">&#8364;35<\/span><\/span>\n\t\t\t<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-5448-field_4-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"4\"><fieldset><legend class=\"wpforms-field-label\">Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-5448-field_4\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][4][address1]\" aria-errormessage=\"wpforms-5448-field_4-error\" required><label for=\"wpforms-5448-field_4\" class=\"wpforms-field-sublabel after\">Direcci\u00f3n (l\u00ednea 1)<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-5448-field_4-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][4][address2]\" aria-errormessage=\"wpforms-5448-field_4-address2-error\" ><label for=\"wpforms-5448-field_4-address2\" class=\"wpforms-field-sublabel after\">Direcci\u00f3n 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-5448-field_4-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][4][city]\" aria-errormessage=\"wpforms-5448-field_4-city-error\" required><label for=\"wpforms-5448-field_4-city\" class=\"wpforms-field-sublabel after\">Ciudad<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-5448-field_4-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][4][state]\" aria-errormessage=\"wpforms-5448-field_4-state-error\" required><label for=\"wpforms-5448-field_4-state\" class=\"wpforms-field-sublabel after\">Estado \/ Provincia \/ Regi\u00f3n<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-5448-field_4-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][4][postal]\" aria-errormessage=\"wpforms-5448-field_4-postal-error\" required><label for=\"wpforms-5448-field_4-postal\" class=\"wpforms-field-sublabel after\">C\u00f3digo postal<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-5448-field_4-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][4][country]\" aria-errormessage=\"wpforms-5448-field_4-country-error\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Selecciona country ---<\/option><option value=\"AF\" >Afganist\u00e1n<\/option><option value=\"AL\" >Albania<\/option><option value=\"DE\" >Alemania<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguila<\/option><option value=\"AG\" >Antigua y Barbuda<\/option><option value=\"AQ\" >Ant\u00e1rtica<\/option><option value=\"DZ\" >Argelia<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaiy\u00e1n<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BH\" >Bar\u00e9in<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Ben\u00edn<\/option><option value=\"BM\" >Bermudas<\/option><option value=\"BY\" >Bielorrusia<\/option><option value=\"BO\" >Bolivia (Estado Plurinacional de)<\/option><option value=\"BQ\" >Bonaire, San Eustaquio y Saba<\/option><option value=\"BA\" >Bosnia y Herzegovina<\/option><option value=\"BW\" >Botsuana<\/option><option value=\"BR\" >Brasil<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"BT\" >But\u00e1n<\/option><option value=\"BE\" >B\u00e9lgica<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Camboya<\/option><option value=\"CM\" >Camer\u00fan<\/option><option value=\"CA\" >Canad\u00e1<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CY\" >Chipre<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoras<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Rep\u00fablica Democr\u00e1tica del)<\/option><option value=\"KR\" >Corea (Rep\u00fablica de)<\/option><option value=\"KP\" >Corea del Norte<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"CI\" >Costa de Marfil<\/option><option value=\"HR\" >Croacia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Curazao<\/option><option value=\"DK\" >Dinamarca<\/option><option value=\"DM\" >Dominica<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egipto<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"AE\" >Emiratos \u00c1rabes Unidos<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"SK\" >Eslovaquia<\/option><option value=\"SI\" >Eslovenia<\/option><option value=\"ES\" >Espa\u00f1a<\/option><option value=\"VA\" >Estado de la Ciudad del Vaticano<\/option><option value=\"US\" >Estados Unidos de America<\/option><option value=\"EE\" >Estonia<\/option><option value=\"ET\" >Etiop\u00eda<\/option><option value=\"RU\" >Federaci\u00f3n Rusa<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"PH\" >Filipinas<\/option><option value=\"FI\" >Finlandia<\/option><option value=\"FR\" >Francia<\/option><option value=\"GA\" >Gab\u00f3n<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GD\" >Granada<\/option><option value=\"GR\" >Grecia<\/option><option value=\"GL\" >Groenlandia<\/option><option value=\"GP\" >Guadalupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GF\" >Guayana Francesa<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GQ\" >Guinea Ecuatorial<\/option><option value=\"GW\" >Guinea-Bis\u00e1u<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Hait\u00ed<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungr\u00eda<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Irlanda (Rep\u00fablica de)<\/option><option value=\"IR\" >Ir\u00e1n (Rep\u00fablica Isl\u00e1mica de)<\/option><option value=\"BV\" >Isla Bouvet<\/option><option value=\"NF\" >Isla Norfolk<\/option><option value=\"IM\" >Isla de Man<\/option><option value=\"CX\" >Isla de Navidad<\/option><option value=\"IS\" >Islandia<\/option><option value=\"KY\" >Islas Caim\u00e1n<\/option><option value=\"CC\" >Islas Cocos<\/option><option value=\"CK\" >Islas Cook<\/option><option value=\"FO\" >Islas Faroe<\/option><option value=\"HM\" >Islas Heard y McDonald<\/option><option value=\"FK\" >Islas Malvinas (Falkland)<\/option><option value=\"MP\" >Islas Marianas del Norte<\/option><option value=\"MH\" >Islas Marshall<\/option><option value=\"SB\" >Islas Salom\u00f3n<\/option><option value=\"TC\" >Islas Turcas y Caicos<\/option><option value=\"UM\" >Islas Ultramarinas Menores de Estados Unidos<\/option><option value=\"VI\" >Islas V\u00edrgenes (EE.UU.)<\/option><option value=\"VG\" >Islas V\u00edrgenes (brit\u00e1nicas)<\/option><option value=\"GS\" >Islas del sur de Georgia y del sur de Sandwich<\/option><option value=\"AX\" >Islas \u00c5land<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italia<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Jap\u00f3n<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordania<\/option><option value=\"QA\" >Katar<\/option><option value=\"KZ\" >Kazajist\u00e1n<\/option><option value=\"KE\" >Kenia<\/option><option value=\"KG\" >Kirguist\u00e1n<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"LS\" >Lesoto<\/option><option value=\"LV\" >Letonia<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libia<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lituania<\/option><option value=\"LU\" >Luxemburgo<\/option><option value=\"LB\" >L\u00edbano<\/option><option value=\"MO\" >Macao<\/option><option value=\"MK\" >Macedonia del Norte (Rep\u00fablica de)<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MY\" >Malasia<\/option><option value=\"MW\" >Malaui<\/option><option value=\"MV\" >Maldivas<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MA\" >Marruecos<\/option><option value=\"MQ\" >Martinica<\/option><option value=\"MU\" >Mauricio<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"FM\" >Micronesia (Estados Federados de)<\/option><option value=\"MD\" >Moldavia (Rep\u00fablica de)<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"MX\" >M\u00e9xico<\/option><option value=\"MC\" >M\u00f3naco<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NO\" >Noruega<\/option><option value=\"NC\" >Nueva Caledonia<\/option><option value=\"NZ\" >Nueva Zelanda<\/option><option value=\"NE\" >N\u00edger<\/option><option value=\"OM\" >Om\u00e1n<\/option><option value=\"PK\" >Pakist\u00e1n<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestina (Estado de)<\/option><option value=\"PA\" >Panam\u00e1<\/option><option value=\"PG\" >Pap\u00faa Nueva Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"NL\" >Pa\u00edses Bajos<\/option><option value=\"PE\" >Per\u00fa<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PF\" >Polinesia Francesa<\/option><option value=\"PL\" >Polonia<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"GB\" >Reino Unido de Gran Breta\u00f1a e Irlanda del Norte<\/option><option value=\"CF\" >Rep\u00fablica Central de \u00c1frica<\/option><option value=\"CZ\" >Rep\u00fablica Checa<\/option><option value=\"DO\" >Rep\u00fablica Dominicana<\/option><option value=\"LA\" >Rep\u00fablica Popular Democr\u00e1tica de Laos<\/option><option value=\"SY\" >Rep\u00fablica \u00c1rabe Siria<\/option><option value=\"RE\" >Reuni\u00f3n<\/option><option value=\"RW\" >Ruanda<\/option><option value=\"RO\" >Ruman\u00eda<\/option><option value=\"KN\" >Saint Kitts y Nevis<\/option><option value=\"WS\" >Samoa<\/option><option value=\"AS\" >Samoa Americana<\/option><option value=\"BL\" >San Bartolom\u00e9<\/option><option value=\"SM\" >San Marino<\/option><option value=\"MF\" >San Mart\u00edn (parte francesa)<\/option><option value=\"SX\" >San Mart\u00edn (parte holandesa)<\/option><option value=\"PM\" >San Pedro y Miquel\u00f3n<\/option><option value=\"VC\" >San Vicente y las Granadinas<\/option><option value=\"SH\" >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value=\"LC\" >Santa Luc\u00eda<\/option><option value=\"ST\" >Santo Tom\u00e9 y Pr\u00edncipe<\/option><option value=\"SA\" >Saud\u00ed Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leona<\/option><option value=\"SG\" >Singapur<\/option><option value=\"SO\" >Somalia<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SZ\" >Suazilandia (Reino de)<\/option><option value=\"ZA\" >Sud\u00e1frica<\/option><option value=\"SD\" >Sud\u00e1n<\/option><option value=\"SS\" >Sud\u00e1n del sur<\/option><option value=\"SE\" >Suecia<\/option><option value=\"CH\" >Suiza<\/option><option value=\"SR\" >Surinam<\/option><option value=\"SJ\" >Svalbard y Jan Mayen<\/option><option value=\"EH\" >S\u00e1hara Occidental<\/option><option value=\"TH\" >Tailandia<\/option><option value=\"TW\" >Taiw\u00e1n, Rep\u00fablica de China<\/option><option value=\"TZ\" >Tanzania (Rep\u00fablica Unida de)<\/option><option value=\"TJ\" >Tayikist\u00e1n<\/option><option value=\"IO\" >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value=\"TF\" >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad y Tobago<\/option><option value=\"TM\" >Turkmenist\u00e1n<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TN\" >T\u00fanez<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UA\" >Ucrania<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekist\u00e1n<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VE\" >Venezuela (Rep\u00fablica Bolivariana de)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"WF\" >Wallis y Futuna<\/option><option value=\"YE\" >Yemen<\/option><option value=\"DJ\" >Yibuti<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabue<\/option><\/select><label for=\"wpforms-5448-field_4-country\" class=\"wpforms-field-sublabel after\">Pa\u00eds<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-5448-field_24-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-inline\" data-field-id=\"24\"><fieldset><legend class=\"wpforms-field-label\">How do you want us to Contact you?<\/legend><ul id=\"wpforms-5448-field_24\" class=\"wpforms-icon-choices wpforms-icon-choices-default wpforms-icon-choices-small\" style=\"--wpforms-icon-choices-color: #227021;\"><li class=\"choice-1 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_24_1\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"32px\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M64 112c-8.8 0-16 7.2-16 16v22.1L220.5 291.7c20.7 17 50.4 17 71.1 0L464 150.1V128c0-8.8-7.2-16-16-16H64zM48 212.2V384c0 8.8 7.2 16 16 16H448c8.8 0 16-7.2 16-16V212.2L322 328.8c-38.4 31.5-93.7 31.5-132 0L48 212.2zM0 128C0 92.7 28.7 64 64 64H448c35.3 0 64 28.7 64 64V384c0 35.3-28.7 64-64 64H64c-35.3 0-64-28.7-64-64V128z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-5448-field_24_1\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][24][]\" value=\"E-mail\" aria-errormessage=\"wpforms-5448-field_24_1-error\"  >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">E-mail<\/span>\n\t\t\t<\/label><\/li><li class=\"choice-2 depth-1 wpforms-icon-choices-item wpforms-selected\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_24_2\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"32px\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M347.1 24.6c7.7-18.6 28-28.5 47.4-23.2l88 24C499.9 30.2 512 46 512 64c0 247.4-200.6 448-448 448c-18 0-33.8-12.1-38.6-29.5l-24-88c-5.3-19.4 4.6-39.7 23.2-47.4l96-40c16.3-6.8 35.2-2.1 46.3 11.6L207.3 368c70.4-33.3 127.4-90.3 160.7-160.7L318.7 167c-13.7-11.2-18.4-30-11.6-46.3l40-96z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-5448-field_24_2\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][24][]\" value=\"PhoneCall\" aria-errormessage=\"wpforms-5448-field_24_2-error\"   checked='checked'>\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">PhoneCall<\/span>\n\t\t\t<\/label><\/li><li class=\"choice-3 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_24_3\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"32px\" viewBox=\"0 0 448 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M380.9 97.1C339 55.1 283.2 32 223.9 32c-122.4 0-222 99.6-222 222 0 39.1 10.2 77.3 29.6 111L0 480l117.7-30.9c32.4 17.7 68.9 27 106.1 27h.1c122.3 0 224.1-99.6 224.1-222 0-59.3-25.2-115-67.1-157zm-157 341.6c-33.2 0-65.7-8.9-94-25.7l-6.7-4-69.8 18.3L72 359.2l-4.4-7c-18.5-29.4-28.2-63.3-28.2-98.2 0-101.7 82.8-184.5 184.6-184.5 49.3 0 95.6 19.2 130.4 54.1 34.8 34.9 56.2 81.2 56.1 130.5 0 101.8-84.9 184.6-186.6 184.6zm101.2-138.2c-5.5-2.8-32.8-16.2-37.9-18-5.1-1.9-8.8-2.8-12.5 2.8-3.7 5.6-14.3 18-17.6 21.8-3.2 3.7-6.5 4.2-12 1.4-32.6-16.3-54-29.1-75.5-66-5.7-9.8 5.7-9.1 16.3-30.3 1.8-3.7.9-6.9-.5-9.7-1.4-2.8-12.5-30.1-17.1-41.2-4.5-10.8-9.1-9.3-12.5-9.5-3.2-.2-6.9-.2-10.6-.2-3.7 0-9.7 1.4-14.8 6.9-5.1 5.6-19.4 19-19.4 46.3 0 27.3 19.9 53.7 22.6 57.4 2.8 3.7 39.1 59.7 94.8 83.8 35.2 15.2 49 16.5 66.6 13.9 10.7-1.6 32.8-13.4 37.4-26.4 4.6-13 4.6-24.1 3.2-26.4-1.3-2.5-5-3.9-10.5-6.6z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"checkbox\" id=\"wpforms-5448-field_24_3\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][24][]\" value=\"Whatsapp\" aria-errormessage=\"wpforms-5448-field_24_3-error\"  >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">Whatsapp<\/span>\n\t\t\t<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-5448-field_25-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"25\"><fieldset><legend class=\"wpforms-field-label\">Multiple Choice<\/legend><ul id=\"wpforms-5448-field_25\" class=\"wpforms-icon-choices wpforms-icon-choices-default wpforms-icon-choices-small\" style=\"--wpforms-icon-choices-color: #066aab;\"><li class=\"choice-1 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_25_1\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"32px\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M243.4 2.6l-224 96c-14 6-21.8 21-18.7 35.8S16.8 160 32 160v8c0 13.3 10.7 24 24 24H456c13.3 0 24-10.7 24-24v-8c15.2 0 28.3-10.7 31.3-25.6s-4.8-29.9-18.7-35.8l-224-96c-8-3.4-17.2-3.4-25.2 0zM128 224H64V420.3c-.6 .3-1.2 .7-1.8 1.1l-48 32c-11.7 7.8-17 22.4-12.9 35.9S17.9 512 32 512H480c14.1 0 26.5-9.2 30.6-22.7s-1.1-28.1-12.9-35.9l-48-32c-.6-.4-1.2-.7-1.8-1.1V224H384V416H344V224H280V416H232V224H168V416H128V224zM256 64a32 32 0 1 1 0 64 32 32 0 1 1 0-64z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"radio\" id=\"wpforms-5448-field_25_1\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][25]\" value=\"Bank Transfer\" aria-errormessage=\"wpforms-5448-field_25_1-error\"  >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">Bank Transfer<\/span>\n\t\t\t<\/label><\/li><li class=\"choice-2 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_25_2\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"32px\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M504 256c0 136.967-111.033 248-248 248S8 392.967 8 256 119.033 8 256 8s248 111.033 248 248zm-141.651-35.33c4.937-32.999-20.191-50.739-54.55-62.573l11.146-44.702-27.213-6.781-10.851 43.524c-7.154-1.783-14.502-3.464-21.803-5.13l10.929-43.81-27.198-6.781-11.153 44.686c-5.922-1.349-11.735-2.682-17.377-4.084l.031-.14-37.53-9.37-7.239 29.062s20.191 4.627 19.765 4.913c11.022 2.751 13.014 10.044 12.68 15.825l-12.696 50.925c.76.194 1.744.473 2.829.907-.907-.225-1.876-.473-2.876-.713l-17.796 71.338c-1.349 3.348-4.767 8.37-12.471 6.464.271.395-19.78-4.937-19.78-4.937l-13.51 31.147 35.414 8.827c6.588 1.651 13.045 3.379 19.4 5.006l-11.262 45.213 27.182 6.781 11.153-44.733a1038.209 1038.209 0 0 0 21.687 5.627l-11.115 44.523 27.213 6.781 11.262-45.128c46.404 8.781 81.299 5.239 95.986-36.727 11.836-33.79-.589-53.281-25.004-65.991 17.78-4.098 31.174-15.792 34.747-39.949zm-62.177 87.179c-8.41 33.79-65.308 15.523-83.755 10.943l14.944-59.899c18.446 4.603 77.6 13.717 68.811 48.956zm8.417-87.667c-7.673 30.736-55.031 15.12-70.393 11.292l13.548-54.327c15.363 3.828 64.836 10.973 56.845 43.035z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"radio\" id=\"wpforms-5448-field_25_2\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][25]\" value=\"Crypto\" aria-errormessage=\"wpforms-5448-field_25_2-error\"  >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">Crypto<\/span>\n\t\t\t<\/label><\/li><li class=\"choice-3 depth-1 wpforms-icon-choices-item\"><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_25_3\">\n\t\t\t\t<span class=\"wpforms-icon-choices-icon\">\n\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"32px\" viewBox=\"0 0 512 512\"><!--! Font Awesome Free 6.4.0 by @fontawesome - https:\/\/fontawesome.com License - https:\/\/fontawesome.com\/license\/free (Icons: CC BY 4.0, Fonts: SIL OFL 1.1, Code: MIT License) Copyright 2023 Fonticons, Inc. --><path d=\"M326.7 403.7c-22.1 8-45.9 12.3-70.7 12.3s-48.7-4.4-70.7-12.3c-.3-.1-.5-.2-.8-.3c-30-11-56.8-28.7-78.6-51.4C70 314.6 48 263.9 48 208C48 93.1 141.1 0 256 0S464 93.1 464 208c0 55.9-22 106.6-57.9 144c-1 1-2 2.1-3 3.1c-21.4 21.4-47.4 38.1-76.3 48.6zM256 91.9c-11.1 0-20.1 9-20.1 20.1v6c-5.6 1.2-10.9 2.9-15.9 5.1c-15 6.8-27.9 19.4-31.1 37.7c-1.8 10.2-.8 20 3.4 29c4.2 8.8 10.7 15 17.3 19.5c11.6 7.9 26.9 12.5 38.6 16l2.2 .7c13.9 4.2 23.4 7.4 29.3 11.7c2.5 1.8 3.4 3.2 3.7 4c.3 .8 .9 2.6 .2 6.7c-.6 3.5-2.5 6.4-8 8.8c-6.1 2.6-16 3.9-28.8 1.9c-6-1-16.7-4.6-26.2-7.9l0 0 0 0 0 0c-2.2-.7-4.3-1.5-6.4-2.1c-10.5-3.5-21.8 2.2-25.3 12.7s2.2 21.8 12.7 25.3c1.2 .4 2.7 .9 4.4 1.5c7.9 2.7 20.3 6.9 29.8 9.1V304c0 11.1 9 20.1 20.1 20.1s20.1-9 20.1-20.1v-5.5c5.3-1 10.5-2.5 15.4-4.6c15.7-6.7 28.4-19.7 31.6-38.7c1.8-10.4 1-20.3-3-29.4c-3.9-9-10.2-15.6-16.9-20.5c-12.2-8.8-28.3-13.7-40.4-17.4l-.8-.2c-14.2-4.3-23.8-7.3-29.9-11.4c-2.6-1.8-3.4-3-3.6-3.5c-.2-.3-.7-1.6-.1-5c.3-1.9 1.9-5.2 8.2-8.1c6.4-2.9 16.4-4.5 28.6-2.6c4.3 .7 17.9 3.3 21.7 4.3c10.7 2.8 21.6-3.5 24.5-14.2s-3.5-21.6-14.2-24.5c-4.4-1.2-14.4-3.2-21-4.4V112c0-11.1-9-20.1-20.1-20.1zM48 352H64c19.5 25.9 44 47.7 72.2 64H64v32H256 448V416H375.8c28.2-16.3 52.8-38.1 72.2-64h16c26.5 0 48 21.5 48 48v64c0 26.5-21.5 48-48 48H48c-26.5 0-48-21.5-48-48V400c0-26.5 21.5-48 48-48z\"\/><\/svg>\n\t\t\t\t\t<span class=\"wpforms-icon-choices-icon-bg\"><\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"radio\" id=\"wpforms-5448-field_25_3\" class=\"wpforms-screen-reader-element\" name=\"wpforms[fields][25]\" value=\"Other\" aria-errormessage=\"wpforms-5448-field_25_3-error\"  >\n\t\t\t\t<span class=\"wpforms-icon-choices-label\">Other<\/span>\n\t\t\t<\/label><\/li><\/ul><\/fieldset><\/div>\t\t<div id=\"wpforms-5448-field_8-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"8\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-5448-field_8\" >Body Acknowledgement Summary<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-5448-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-5448-field_7-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-5448-field_7\">Special instructions (optional)<\/label><textarea id=\"wpforms-5448-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-5448-field_7-error\" ><\/textarea><\/div><div id=\"wpforms-5448-field_6-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-conditional-field wpforms-conditional-show wpforms-field-medium wpforms-summary-enabled\" data-field-id=\"6\" style=\"display:none;\" aria-live=\"polite\" aria-atomic=\"true\"><label class=\"wpforms-field-label\">Order Summary<\/label><div class=\"wpforms-order-summary-container\">\n\t<table class=\"wpforms-order-summary-preview\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\" role=\"presentation\">\n\t\t<caption style=\"display: none;\">Resumen del pedido<\/caption>\n\t\t<thead>\n\t\t\t<tr>\n\t\t\t\t<th class=\"wpforms-order-summary-item-label\" valign=\"top\">Elemento<\/th>\n\t\t\t\t<th class=\"wpforms-order-summary-item-quantity\" valign=\"top\">\n\t\t\t\t\t<span class=\"wpforms-order-summary-item-quantity-label-full\">Cantidad<\/span>\n\t\t\t\t\t<span class=\"wpforms-order-summary-item-quantity-label-short\">Cant<\/span>\n\t\t\t\t<\/th>\n\t\t\t\t<th class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">Total<\/th>\n\t\t\t<\/tr>\n\t\t<\/thead>\n\t\t<tbody>\n\t\t\t<tr class=\"wpforms-order-summary-placeholder\" style=\"display: table-row;\">\n\t\t\t\t<td colspan=\"3\" valign=\"top\">No hay productos seleccionados.<\/td>\n\t\t\t<\/tr>\n\t\t\t<tr class=\"wpforms-order-summary-field\" data-field=\"5\" data-choice=\"1\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Dosage (g) - 9g Nembutal Powder(Body weight less than 100lb)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;380<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"5\" data-choice=\"2\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Dosage (g) - 12g Nembutal Powder(Body weight ranges between 100lb - 135lb)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;420<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"5\" data-choice=\"3\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Dosage (g) - 15g Nembutal Powder(Body weight above 135lb)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;530<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"19\" data-choice=\"1\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Dosage (ml) - 200ml Nembutal Oral Liquid(Body weight less than 100lb)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;385<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"19\" data-choice=\"4\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Dosage (ml) - 250ml Nembutal Oral Liquid(Body weight ranges between 100lb - 135lb)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;506<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"19\" data-choice=\"2\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Dosage (ml) - 300ml Nembutal Oral Liquid(Body weight above 135lb)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;600<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"20\" data-choice=\"1\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Dosage - 25ml Injectable Nembutal Solution(Body Weight less than 100lb)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;300<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"20\" data-choice=\"2\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Dosage - 50ml Injectable Nembutal Solution(Body weight ranges between 100l - 135lb)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;410<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"20\" data-choice=\"3\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Dosage - 100ml Injectable Nembutal Solution(Body weight above 135lb)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;600<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"21\" data-choice=\"1\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Dosage (1000mg\/tabs) - 18 Nembutal pills(Body weight less than 100lb)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;360<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"21\" data-choice=\"2\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Dosage (1000mg\/tabs) - 24 Nembutal pills(Body weight between 100lb - 135lb)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;415<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"21\" data-choice=\"3\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Dosage (1000mg\/tabs) - 30 Nembutal pills(Body weight above 135lb)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;510<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"22\" data-choice=\"1\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Additional Options - Zofran (antiemetic pills)<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;15<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"22\" data-choice=\"2\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Additional Options - Express Shipping<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;50<\/td><\/tr><tr class=\"wpforms-order-summary-field\" data-field=\"22\" data-choice=\"3\" style=\"display:none;\"><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Additional Options - Barbiturate test kit<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\">1<\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;35<\/td><\/tr><tr class=\"wpforms-order-summary-preview-total\" ><td class=\"wpforms-order-summary-item-label\" valign=\"top\">Total<\/td><td class=\"wpforms-order-summary-item-quantity\" valign=\"top\"><\/td><td class=\"wpforms-order-summary-item-price\" valign=\"top\" style=\"width:7ch;\">&#8364;0<\/td><\/tr>\t\t<\/tbody>\n\t<\/table>\n<\/div>\n<div class=\"wpforms-payment-total\" style=\"display:none\">&#8364;0<\/div><input type=\"hidden\" id=\"wpforms-5448-field_6\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][6]\" value=\"0\"><\/div><div id=\"wpforms-5448-field_28-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"28\"><fieldset><legend class=\"wpforms-field-label\">Acknowledgement <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-5448-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-5448-field_28_1\" name=\"wpforms[fields][28][]\" value=\"\u00a0\u00a0&lt;strong&gt;I have read, understood, and agree to the following:&lt;\/strong&gt;&lt;br&gt;&lt;br&gt;\" aria-errormessage=\"wpforms-5448-field_28_1-error\" aria-describedby=\"wpforms-5448-field_28-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5448-field_28_1\">\u00a0\u00a0<strong>I have read, understood, and agree to the following:<\/strong><br><br><\/label><\/li><\/ul><div id=\"wpforms-5448-field_28-description\" class=\"wpforms-field-description\"><div class=\"disclaimer-text\" style=\"margin:20px 0;padding:15px;border:1px solid #e0e0e0;background-color:#f8f8f8;font-size:15px;line-height:1.6;\">\n    \n    I am a legal adult (18+ years old) and I am placing this order <strong>solely at my own risk and responsibility<\/strong>.<br \/><br \/>\n    \n    I acknowledge that <strong>Nembutal (pentobarbital)<\/strong> is a powerful controlled substance. I confirm that:\n    \n    <ul style=\"margin:12px 0 12px 25px;\">\n     \n        <li>This purchase is for <strong>personal use only<\/strong> and I will not resell or distribute it.<\/li>\n        <li>I understand this product is intended for <strong>voluntary euthanasia \/ end-of-life purposes<\/strong> and I am making this decision freely and without coercion.<\/li>\n        <li>I have consulted (or will consult) with appropriate medical and\/or legal professionals where required, and I accept full responsibility for any medical, legal, or other consequences that may arise from the use of this product.<\/li>\n        <li>The information provided on this website is for informational purposes only and <strong>does not<\/strong> constitute medical advice.<\/li>\n        <li>I release Nembutal Solution and its owners\/operators from any liability related to the misuse, improper storage, or unintended effects of this product.<\/li>\n    <\/ul>\n    \n    I confirm that all information I have provided in this order is accurate and truthful.\n    \n<\/div><\/div><\/fieldset><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-5448-field_8-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-5448-field_8-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-5448-field_8-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"5448\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/nembutalsolution.org\/es\/wp-json\/wp\/v2\/pages\/2169\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-5448\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/nembutalsolution.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Cargando\"><\/div><\/form><\/div>  <!-- .wpforms-container --><div id=\"tm-row-6a1b35d939f28\" class=\"vc_row vc_row-outer vc_row-fluid\"><div id=\"tm-column-6a1b35d93a3fb\" class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner \"><div class=\"wpb_wrapper\">\n<div class=\"tm-heading  left tm-animation move-up\" id=\"tm-heading-6a1b35d93a76f\">\n\t<h5 class=\"heading\" >Disclaimer: For legitimate research, veterinary, or peaceful exit purposes only where legally permitted. By ordering, you confirm you are of legal age and fully compliant with your local laws. We are not responsible for any misuse. All sales final.<\/h5><\/div>\n\n<\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"Por favor, activa JavaScript en tu navegador para completar este formulario.Por favor, activa JavaScript en tu navegador para completar este formulario.Fill the form below to place an order Name *NombreApellidosEmail *Phone *Body Weight (Lbs) *Age *Product Formulation *--- Select formulation ---Nembutal PowderNembutal Oral SolutionInjectable Nembutal SolutionNembutal Pills\/tabletsDosage (g) *9g Nembutal Powder(Body weight less than 100lb) - &#8364;38012g Nembutal Powder(Body weight ranges between 100lb - 135lb) - &#8364;42015g Nembutal Powder(Body weight above 135lb) - &#8364;530Dosage (ml) *200ml Nembutal Oral Liquid(Body weight less than 100lb) - &#8364;385250ml Nembutal Oral Liquid(Body weight ranges between 100lb - 135lb) - &#8364;506300ml Nembutal Oral Liquid(Body weight above 135lb) - &#8364;600Dosage *25ml Injectable Nembutal Solution(Body Weight less than 100lb) - &#8364;30050ml Injectable Nembutal Solution(Body weight ranges between 100l - 135lb) - &#8364;410100ml Injectable Nembutal Solution(Body weight above 135lb) - &#8364;600Dosage (1000mg\/tabs) *18 Nembutal pills(Body weight less than 100lb) - &#8364;36024 Nembutal pills(Body weight between 100lb - 135lb) - &#8364;41530 Nembutal pills(Body weight above 135lb) - &#8364;510Additional Options Zofran (antiemetic pills) - &#8364;15 Express Shipping - &#8364;50 Barbiturate test kit - &#8364;35 Address *Direcci\u00f3n (l\u00ednea 1)Direcci\u00f3n 2CiudadEstado \/ Provincia \/ Regi\u00f3nC\u00f3digo postal--- Selecciona country ---Afganist\u00e1nAlbaniaAlemaniaAndorraAngolaAnguilaAntigua y BarbudaAnt\u00e1rticaArgeliaArgentinaArmeniaArubaAustraliaAustriaAzerbaiy\u00e1nBahamasBangladeshBarbadosBar\u00e9inBelizeBen\u00ednBermudasBielorrusiaBolivia (Estado Plurinacional de)Bonaire, San Eustaquio y SabaBosnia y HerzegovinaBotsuanaBrasilBrunei DarussalamBulgariaBurkina FasoBurundiBut\u00e1nB\u00e9lgicaCabo VerdeCamboyaCamer\u00fanCanad\u00e1ChadChileChinaChipreColombiaComorasCongoCongo (Rep\u00fablica Democr\u00e1tica del)Corea (Rep\u00fablica de)Corea del NorteCosta RicaCosta de MarfilCroaciaCubaCurazaoDinamarcaDominicaEcuadorEgiptoEl SalvadorEmiratos \u00c1rabes UnidosEritreaEslovaquiaEsloveniaEspa\u00f1aEstado de la Ciudad del VaticanoEstados Unidos de AmericaEstoniaEtiop\u00edaFederaci\u00f3n RusaFijiFilipinasFinlandiaFranciaGab\u00f3nGambiaGeorgiaGhanaGibraltarGranadaGreciaGroenlandiaGuadalupeGuamGuatemalaGuayana FrancesaGuernseyGuineaGuinea EcuatorialGuinea-Bis\u00e1uGuyanaHait\u00edHondurasHong KongHungr\u00edaIndiaIndonesiaIraqIrlanda (Rep\u00fablica de)Ir\u00e1n (Rep\u00fablica Isl\u00e1mica de)Isla BouvetIsla NorfolkIsla de ManIsla de NavidadIslandiaIslas Caim\u00e1nIslas CocosIslas CookIslas FaroeIslas Heard y McDonaldIslas Malvinas (Falkland)Islas Marianas del NorteIslas MarshallIslas Salom\u00f3nIslas Turcas y CaicosIslas Ultramarinas Menores de Estados UnidosIslas V\u00edrgenes (EE.UU.)Islas V\u00edrgenes (brit\u00e1nicas)Islas del sur de Georgia y del sur de SandwichIslas \u00c5landIsraelItaliaJamaicaJap\u00f3nJerseyJordaniaKatarKazajist\u00e1nKeniaKirguist\u00e1nKiribatiKosovoKuwaitLesotoLetoniaLiberiaLibiaLiechtensteinLituaniaLuxemburgoL\u00edbanoMacaoMacedonia del Norte (Rep\u00fablica de)MadagascarMalasiaMalauiMaldivasMaliMaltaMarruecosMartinicaMauricioMauritaniaMayotteMicronesia (Estados Federados de)Moldavia (Rep\u00fablica de)MongoliaMontenegroMontserratMozambiqueMyanmarM\u00e9xicoM\u00f3nacoNamibiaNauruNepalNicaraguaNigeriaNiueNoruegaNueva CaledoniaNueva ZelandaN\u00edgerOm\u00e1nPakist\u00e1nPalauPalestina (Estado de)Panam\u00e1Pap\u00faa Nueva GuineaParaguayPa\u00edses BajosPer\u00faPitcairnPolinesia FrancesaPoloniaPortugalPuerto RicoReino Unido de Gran Breta\u00f1a e Irlanda del NorteRep\u00fablica Central de \u00c1fricaRep\u00fablica ChecaRep\u00fablica DominicanaRep\u00fablica Popular Democr\u00e1tica de LaosRep\u00fablica \u00c1rabe SiriaReuni\u00f3nRuandaRuman\u00edaSaint Kitts y NevisSamoaSamoa AmericanaSan Bartolom\u00e9San MarinoSan Mart\u00edn (parte francesa)San Mart\u00edn (parte holandesa)San Pedro y Miquel\u00f3nSan Vicente y las GranadinasSanta Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1aSanta Luc\u00edaSanto Tom\u00e9 y Pr\u00edncipeSaud\u00ed ArabiaSenegalSerbiaSeychellesSierra LeonaSingapurSomaliaSri LankaSuazilandia (Reino de)Sud\u00e1fricaSud\u00e1nSud\u00e1n del surSueciaSuizaSurinamSvalbard y Jan MayenS\u00e1hara OccidentalTailandiaTaiw\u00e1n, Rep\u00fablica de ChinaTanzania (Rep\u00fablica Unida de)Tayikist\u00e1nTerritorio Brit\u00e1nico del Oc\u00e9ano \u00cdndicoTierras Australes y Ant\u00e1rticas FrancesasTimor-LesteTogoTokelauTongaTrinidad y TobagoTurkmenist\u00e1nTuvaluT\u00fanezT\u00fcrkiyeUcraniaUgandaUruguayUzbekist\u00e1nVanuatuVenezuela (Rep\u00fablica Bolivariana de)VietnamWallis y FutunaYemenYibutiZambiaZimbabuePa\u00edsHow do you want us to Contact you? E-mail PhoneCall Whatsapp Multiple Choice Bank Transfer Crypto Other Special instructions (optional) (g) Email do Order Summary Resumen del pedido Elemento Cantidad Cant Total No hay productos seleccionados. Dosage (g) - 9g Nembutal Powder(Body weight less than 100lb)1&#8364;380Dosage (g) - 12g Nembutal Powder(Body weight ranges between 100lb - 135lb)1&#8364;420Dosage (g) - 15g Nembutal Powder(Body weight above 135lb)1&#8364;530Dosage (ml) - 200ml Nembutal Oral Liquid(Body weight less than 100lb)1&#8364;385Dosage (ml) - 250ml Nembutal Oral Liquid(Body weight ranges between 100lb - 135lb)1&#8364;506Dosage (ml) - 300ml Nembutal Oral Liquid(Body weight above 135lb)1&#8364;600Dosage - 25ml Injectable Nembutal Solution(Body Weight less than 100lb)1&#8364;300Dosage - 50ml Injectable Nembutal Solution(Body weight ranges between 100l - 135lb)1&#8364;410Dosage - 100ml Injectable Nembutal Solution(Body weight above 135lb)1&#8364;600Dosage (1000mg\/tabs) - 18 Nembutal pills(Body weight less than 100lb)1&#8364;360Dosage (1000mg\/tabs) - 24 Nembutal pills(Body weight between 100lb - 135lb)1&#8364;415Dosage (1000mg\/tabs) - 30 Nembutal pills(Body weight above 135lb)1&#8364;510Additional Options - Zofran (antiemetic pills)1&#8364;15Additional Options - Express Shipping1&#8364;50Additional Options - Barbiturate test kit1&#8364;35Total&#8364;0 &#8364;0Acknowledgement *\u00a0\u00a0I have read, understood, and agree to the following: I am a legal adult (18+ years old) and I am placing this order solely at my own risk and responsibility. I acknowledge that Nembutal (pentobarbital) is a powerful controlled substance. I confirm that: This purchase is for personal use only and I will not resell or distribute it. I understand this product is intended for voluntary euthanasia \/ end-of-life purposes and I am making this decision freely and without coercion. I have consulted (or will consult) with appropriate medical and\/or legal professionals where required, and I accept full responsibility for any medical, legal, or other consequences that may arise from the use of this product. The information provided on this website is for informational purposes only and does not constitute medical advice. I release Nembutal Solution and its owners\/operators from any liability related to the misuse, improper storage, or unintended effects of this product. I confirm that all information I have provided in this order is accurate and truthful. Submit Disclaimer: For legitimate research, veterinary, or peaceful exit purposes only where legally permitted. By ordering, you confirm you are of legal age and fully compliant with your local laws. We are not responsible for any misuse. All sales final.","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2169","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.6 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Order Nembutal Online Securely | Official Order Form<\/title>\n<meta name=\"description\" content=\"Easily and securely order Nembutal online. We offer discreet shipping and guaranteed delivery of high-quality Pentobarbital.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nembutalsolution.org\/es\/comprar-nembutal-en-linea\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Order Nembutal\" \/>\n<meta property=\"og:description\" content=\"Easily and securely order Nembutal online. We offer discreet shipping and guaranteed delivery of high-quality Pentobarbital.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/nembutalsolution.org\/es\/comprar-nembutal-en-linea\/\" \/>\n<meta property=\"og:site_name\" content=\"NEMBUTAL SOLUTION\" \/>\n<meta property=\"article:modified_time\" content=\"2026-05-28T11:52:09+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minuto\" \/>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Orden Nembutal en l\u00ednea de forma segura | Formulario de pedido oficial","description":"Pida Nembutal online de forma f\u00e1cil y segura. Ofrecemos env\u00edo discreto y entrega garantizada de Pentobarbital de alta calidad.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/nembutalsolution.org\/es\/comprar-nembutal-en-linea\/","og_locale":"es_ES","og_type":"article","og_title":"Order Nembutal","og_description":"Easily and securely order Nembutal online. We offer discreet shipping and guaranteed delivery of high-quality Pentobarbital.","og_url":"https:\/\/nembutalsolution.org\/es\/comprar-nembutal-en-linea\/","og_site_name":"NEMBUTAL SOLUTION","article_modified_time":"2026-05-28T11:52:09+00:00","twitter_card":"summary_large_image","twitter_misc":{"Tiempo de lectura":"1 minuto"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/nembutalsolution.org\/order-nembutal-online\/","url":"https:\/\/nembutalsolution.org\/order-nembutal-online\/","name":"Orden Nembutal en l\u00ednea de forma segura | Formulario de pedido oficial","isPartOf":{"@id":"https:\/\/nembutalsolution.org\/#website"},"datePublished":"2019-07-08T09:42:15+00:00","dateModified":"2026-05-28T11:52:09+00:00","description":"Pida Nembutal online de forma f\u00e1cil y segura. Ofrecemos env\u00edo discreto y entrega garantizada de Pentobarbital de alta calidad.","breadcrumb":{"@id":"https:\/\/nembutalsolution.org\/order-nembutal-online\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/nembutalsolution.org\/order-nembutal-online\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/nembutalsolution.org\/order-nembutal-online\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/nembutalsolution.org\/"},{"@type":"ListItem","position":2,"name":"Order Nembutal"}]},{"@type":"WebSite","@id":"https:\/\/nembutalsolution.org\/#website","url":"https:\/\/nembutalsolution.org\/","name":"NEMBUTAL EUTANASIA","description":"","publisher":{"@id":"https:\/\/nembutalsolution.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/nembutalsolution.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/nembutalsolution.org\/#organization","name":"Nembutal Solution","alternateName":"Nembutal Solution","url":"https:\/\/nembutalsolution.org\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/nembutalsolution.org\/#\/schema\/logo\/image\/","url":"https:\/\/nembutalsolution.org\/wp-content\/uploads\/2018\/10\/logo-dark-retina.webp","contentUrl":"https:\/\/nembutalsolution.org\/wp-content\/uploads\/2018\/10\/logo-dark-retina.webp","width":410,"height":72,"caption":"Nembutal Solution"},"image":{"@id":"https:\/\/nembutalsolution.org\/#\/schema\/logo\/image\/"},"email":"sales@nembutalsolution.org","legalName":"Nembutal Solution"}]}},"_links":{"self":[{"href":"https:\/\/nembutalsolution.org\/es\/wp-json\/wp\/v2\/pages\/2169","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nembutalsolution.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nembutalsolution.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nembutalsolution.org\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nembutalsolution.org\/es\/wp-json\/wp\/v2\/comments?post=2169"}],"version-history":[{"count":0,"href":"https:\/\/nembutalsolution.org\/es\/wp-json\/wp\/v2\/pages\/2169\/revisions"}],"wp:attachment":[{"href":"https:\/\/nembutalsolution.org\/es\/wp-json\/wp\/v2\/media?parent=2169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}