Secure Order Form

Qty	Product Id	Product	Options	Price

Order Totals
Item Cost Subtotal:	$ 0.00

Grand Total:	$ 0.00


Payment Information (Name, Address, and Check or Credit Card):

First Name
Last Name
Company
Street:
City:
State:
Zip/Postal Code:
Country:

Credit Card: Visa Mastercard

Number:
Exp. Date:

Shipping Information: (if different than above)

Method:	Products are customarily shipped within two working days for delivery by UPS or FEDEX for destinations within the United States or UPS Express for international destinations. Cost of freight and insurance is 30.00 USD for U.S. deliveries and 120.00 USD for international orders, regardless of quantity. A Certificate of Analysis accompanies each product.
First Name
Last Name
Company
Street:
City:
State:
Zip:
Country:

Telephone/Email

Telephone:	Area Code/Telephone
E-Mail:

Special Notes:	Please enter courier name, account number and special instructions if you chose Ship Collect.

Only one more step! Please click the Verify Order button below. This will give you the chance to examine your order one last time before you actually submit it to be processed.


Celsus Laboratories 800-HEPARIN. Contacts for assistance 12150 Best Place, Sharonville, OH 45241