ABO Pharmaceuticals
Partner With our Track Record of Success
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ABO Pharmaceuticals is proud to be your Authorized Distributor for
bioCSL Vaccines.

Note: This page is dedicated to bioCSL customers only. If your bioCSL representative did not direct you to this page, please click here to use our standard pre-book form.

bioCSL Online Form
Please complete the form below to reserve your flu vaccine. A got flu? team member will contact you shortly to confirm your order.


Facility Name:


Contact Name:


Industry Type:


Address:

City:

State:


Zip:


Telephone:


Fax:

Email:


Confirm Email:



How did you hear about us?
bioCSL Representative's Name:


Total doses used for entire season?

Please check the brand/manufacture you prefer:

Afluria (bioCSL/CSL)

Will you be vaccinating children under 4 years of age?
Yes
No

Quantity of vials requested:
(10 doses per vial)

  vial(s)
Quantity of syringes requested:
(10 syringes per box)

  box(s)




Call Us!
A got flu? team member is standing by to assist you at

877-226-2266 or 949-699-2727


Download PDF Form
Download, complete and fax back to 877-718-0118


We Accept Credit Cards!