NMT Center ships via USPS and UPS ground service. Unless an item is out of stock, your order will be shipped within five (5) business days from the date the order is placed, although often we ship it on the same day that the order is received. Our flat-fee rate does not cover international, expedited, or other unusual fees associated with special shipping requests. If you require special shipping, please call or email us for an estimate of your additional costs.