Information of Person Ordering

*Billing Address:

Billing Address:

*City: *State/Province: *Zip or Postal Code:

*Phone Number: Mobile/Cell Number: *E-mail Address:

Shipping Information

Shipping Address same as Billing Address:

Ship to First Name: Ship to Last Name: Phone Number:

Shipping Address:

Shipping Address:

City: State/Province: Zip or Postal Code:

E-mail for Tracking: Same as Above or enter different Email:

CELLECT™ Complete Kit

Domestic shipping within the USA:

• Orders of CELLECT™ Dietary Supplement powder: FREE SHIPPING on orders of 2 or more

International shipping (outside of the USA):

• Rate will be calculated and emailed when order is received.
• Shipped via USPS International (3-9 Business days to arrive at foreign customs office)