Order the Cryo-Save collection kit

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Order Please fill in the form below and we will send the collection kit to you as soon as possible. Fields marked with * are mandatory.
*Surname of mother
*First name of mother
Surname of father
First name of father
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*Telephone number
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Name Doctor
Address hospital
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*Expected date of birth
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Number of collection kits required?
* � 210	Yes, I will pay � 210 after receiving the invoice.
* � 1775	I agree to the price of � 1775 for the courier costs and the processing of the sample in the laboratory and for the storage of the stem cells for a period of 20 years.
In case you would like to pay by creditcard, please fill in this form. If your home address is different from the shipment address, please fill out the fields below.
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