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:
All orders submitted through this Order Form are automatically converted to an Invoice and can be processed and shipped out more promptly and efficiently. Orders submitted by any other method may be delayed because they have to be reviewed to make sure that we have all required information to process the order.

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

Our office hours are Monday-Friday 10:00 AM - 6:00 PM EST (New York)

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 US Postal Service.
Price varies by country. First Orders will receive cost estimate by email

USPS International Express (3-5 Business days to arrive at foreign customs office)

USPS International Priority (6-10 Business days to arrive at foreign customs office. Not available to some countries)

Preferred Shipping:

CELLECT™ Products

SKU	Item	Servings	QTY	Price	Description
C-UNF30	Unflavored Powder Kit	30 servings		$100 per kit	Unflavored Powder Cod Liver Oil Gelcaps included

Additional Products

Brand	Item		Price	Description
CELLECT™	Cod Liver Oil Gelcaps	90 Capsules	$10 each	Cod Liver Oil Gelcaps ONLY.
NutraSumma™	Immulox PRP Spray†	5 oz.	$35 each	Spray Bottle
NutraSumma™	Pea Protein Vanilla Flavor	2 lbs. Pouch	$40 each	Protein Powder
NutraSumma™	Pea Protein Chocolate Flavor	2.11 lbs. Pouch	$40 each	Protein Powder

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

Special Instructions or Questions: