MyXBorder

Your Contact Details:

First Name*:

Last Name*:

Mobile Number*:

Email*:

Medical Items

Upload Indian Prescription*:

Upload Indian Bill*:

Indian Pick Up Address:

First Name*:

Last Name*:

Email*:

Country*:

State:

City*:

Street Address 1*:

Street Address:

Pin code*:

Mobile*:

Upload Document*: 1st ID (Indian Govt. Id's 1 and it must be less than 2MB)

Upload Document*: 2nd ID (Indian Govt. Id's 2 and it must be less than 2MB)

Package Information:

No of Boxes*:In number

Weight of Package*:In KG

Dimension of package if you are aware (Optional) :

Height(in CM): Width(in CM): Depth(in CM):

- + - + - +

Item Type*:

Item Name*:

Quantity*:

Price (Per Item in INR)*:

Total Price*:

Add More Items

Total Invoice Value

Your order amount is greater or equal to 25,000 RS.Import duty charges may apply depending upon destiantion country.

Destination Address:

First Name*:

Last Name*:

Mobile Number*:

Country*:

State:

City*:

Street Address 1*:

Street Address 2:

Pin code*:

Remarks:

International Shipment

Your Contact Details:

Indian Pick Up Address:

Package Information:

Destination Address: