Divine Fertility: Wholesale Order Form
    Wholesale Order Form


  Click to Verify From FAIRHAVEN HEALTH  



Feel Free To Make Your Wholesale Order

Enjoy a Huge Discount!

Please use the form below to relay to us your wholesale order.

After the submitting your order, you will receive e-mail and or phone confirmation from us in honour of your order.



Products to help you conceive


FertilAid for Men

Clinically shown to improve count and motility. FertilAid for Men is doctor-designed to improve male reproductive health.


FertilAid for Women
Optimizes your chances of conceiving with FertilAid for Women - a fertility enhancing supplement designed for trying-to-conceive women.
MotilityBoost for Men
Designed to be taken with FertilAid For Men, MotilityBoost is full of vitamins, minerals and herbs shown to increase sperm motility.
OvaBoost for Women
Designed to be taken with FertilAid for Women, as such that promotes egg quality and support ovarian function in all trying to conceive women.
Order Form
The Need To Get In Touch With You

Name of Company  

Name of Contact  

  [Firstname & Lastname]



Mobile Phone  


Delivery Street Address 1 

Delivery Street Address 2 




Order Request (Ex: 20 packs of FertilAid for Men, 15 packs of FertilAid for Women, 10 packs of Motility Boost etc)

Are you a regular customer   

  Yes No

If No, then please describe your business (online or physical retail, health food store, specialty shop, hospital, fertility clinic, etc)



E-Mail me your current price list   

  Yes No

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