Welcome to the Online Product Order Form

To order online, simply fill-out the form below. After completing, click on "Submit Order", and your order will be transmitted to us.

Or you can mail or fax your order. Click here!

Name and Address Information:

First Name:
Last Name:
Address:
City:
State:
Zip:
Country:
E-Mail: Telephone: (Required on all credit card orders.)

Ship to address: (if different from above)

Address:
City:
State:
Zip:
Country:

Dr. Kaplan's Items

Option #1 -- Deluxe Pump w/ Guage and One Penis Cylinder

Expansion Cylinder fits over penis
(This cylinder will fit 90% of the population.)
(Professional enlargement instructions and daily record sheet included.)

Quantity: @ $158.00 ea. + S/H (see below)

Option #2 -- Electric Pump w/ Assembly and one Penis Cylinder

MEGAVAC Electric Vaccum Pump (completely assembled and ready to use)
Expansion Cylinder: fits over penis
(This cylinder will fit 90% of the population.)

Quantity: @ $286.00 ea. + S/H (see below)

Option #3 -- Electric Pump w/ Assembly, Deluxe Pump w/Gauge and one Penis Cylinder

MEGAVAC Electric Vaccum Pump (completely assembled and ready to use)
Single hand held trigger pump.
Expansion Cylinder: fits over penis
(This cylinder will fit 90% of the population.)

Quantity: @ $375.00 + S/H (see below)

Voltage Information (for orders outside the US only)

Voltage:

(Note: The 110 will work on 115 and vice versa and the 220 will work on the 230 and vice versa.
The 110/115 will not work on the 220/230 and vice versa.)

Videos

Dr. Joel's Instructional Video
Quantity: @ $49.00 + S/H (see below)

How to Enlarge Your Penis Video
Quantity: @ $49.00 + S/H (see below)

Method of Payment

Credit card type:

Name on the card:

Card Number:

Expiration Date (month/year):

SHIPPING AND HANDLING CHARGES:

U.S. and Canada: $12.00
Foreign Outside U.S./Canada: $25.00 for Hand Held Pump
$65.00 for Electric Pump
7.5% SALES TAX on subtotal for California residents only

Please allow 3-4 weeks for delivery

Billing on your credit card statement will read Dr. Kaplan

To submit your order, press this button:

To clear the form, press this button:

Welcome to the Online Product Order Form

To order online, simply fill-out the form below. After completing, click on "Submit Order", and your order will be transmitted to us.

Or you can mail or fax your order. Click here!

Name and Address Information:

First Name:
Last Name:
Address:
City:
State:
Zip:
Country:
E-Mail: Telephone: (Required on all credit card orders.)

Ship to address: (if different from above)

Dr. Kaplan's Items

Option #1 -- Deluxe Pump w/ Guage and One Penis Cylinder

Option #2 -- Electric Pump w/ Assembly and one Penis Cylinder

Option #3 -- Electric Pump w/ Assembly, Deluxe Pump w/Gauge and one Penis Cylinder

Voltage Information (for orders outside the US only)

Method of Payment

Please allow 3-4 weeks for delivery

Submit your order, hit your back function, then click here..

If you do not wish to place an order, you may RETURN TO THE MAIN MENU.

Welcome to the Online Product Order Form

To order online, simply fill-out the form below. After completing, click on "Submit Order", and your order will be transmitted to us.

Or you can mail or fax your order. Click here!

Name and Address Information:

First Name: Last Name: Address: City: State: Zip: Country: E-Mail: Telephone: (Required on all credit card orders.)

Ship to address: (if different from above)

Dr. Kaplan's Items

Option #1 -- Deluxe Pump w/ Guage and One Penis Cylinder

Option #2 -- Electric Pump w/ Assembly and one Penis Cylinder

Option #3 -- Electric Pump w/ Assembly, Deluxe Pump w/Gauge and one Penis Cylinder

Voltage Information (for orders outside the US only)

Method of Payment

Please allow 3-4 weeks for delivery

Submit your order, hit your back function, then click here..

If you do not wish to place an order, you may RETURN TO THE MAIN MENU.

First Name:
Last Name:
Address:
City:
State:
Zip:
Country:
E-Mail: Telephone: (Required on all credit card orders.)