CELLECT

Order Form

Please submit ALL orders by completing all fields on the Order Form below and then click on the "Submit Order" button at the bottom:

If you have questions about an order that you have submitted please contact us by:

Phone: 1-631-509-5316 or toll-free: 1-866-692-3553 (1-866-My Cellect)
E-mail Us: order@cellect.org

If this is your first order, you will be contacted for order confirmation and payment information as soon as possible.

Orders from outside of the USA & Canada will be contacted via email for order confirmation, shipping options and payment details.

If you would like to use a different payment method or if there are other changes from your previous order please indicate the change in the "Special Instructions or Questions" section below. We will contact you, if necessary, before processing the order.

Contact Information

*First Time Ordering:

Information of Person Ordering

*First Name:

*Last Name:

*Billing Address:

Billing Address:

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

Country:

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

Referred By:

*Payment Method:

(Online Check and Credit Card Payment Orders are shipped after payment clears - in approximately 3-4 business days)

If using a card on file please enter the information below

Card Type: Last 4 digits: Expiration: CSC/CID:

Shipping Information

Shipping Address same as Billing Address:

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

Shipping Address:

City: State/Province: Zip or Postal Code:

Country:

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

Orders are shipped to USA addresses by USPS Priority Mail or FedEx Home/Ground
(using lowest cost of delivery in approximately 1-3 business days).

Express Shipping to USA addresses via FedEx Air is available upon request.

Orders shipped outside of the USA are ONLY sent by International Express.
Price varies by country. First Orders will receive cost estimate by email

International Express (3-9 Business days to arrive at foreign customs office)

Preferred Shipping:

CELLECT™ Complete Kit

SKU	Item	Servings	QTY	Price	Description
C-UNF30K	Complete Unflavored Powder Kit	30 servings		$100 per kit	Unflavored Powder and Cod Liver Oil Softgels

Additional CELLECT™ Options

SKU	Item	Servings	QTY	Price	Description
C-UNF30	Unflavored Powder Only	30 servings		$90 each	Unflavored Powder ONLY
C-CLO30	Cod Liver Oil Softgels Only	30 servings		$10 each	Cod Liver Oil Softgels ONLY

Additional Products

Brand	Item		QTY	Price	Description
BlenderBottle™	Blender Bottle Classic 20oz.	1 Blender Bottle	Out of Stock	$14 each	SpoutGuard™ to keep germs at bay, BPA/Phthalate free & dishwasher safe
NutraSumma™	Immulox Spray†	5 fl. oz.		$35 each	Spray Bottle
NutraSumma™	Vitamin D3 Supplement Spray	1 fl. oz.		$10 each	Spray Bottle

†: These items can only be shipped within the United States.

Special Instructions or Questions: