AlphaCord - Order Cord Blood Banking Online

Order Online

STEP
Ordering
Overview
STEP
Client Service
Agreement
STEP
Contact Info, Lab, Storage & Payment
STEP
Confirmation

Contact Information:

Mother First Name:

Mother Last Name:

Mother Middle Initial:

Mother Birthdate:

Mother SS#:

Email:

Due Date:

Multiple Births?

For multiple births, please register by calling: 1-866-396-7283

Shipping Address:

City:

State: Zip:

Country:

Day Phone:

Evening Phone:

How did you hear about us?: Other:

If you wish, enter a message or delivery instructions here.

Select Laboratory:

New Jersey Stem Cell Bank $ 1395
Chicago Stem Cell Bank $ 1395
Florida Stem Cell Bank $ 999
Mass. Stem Cell Bank $ 1395

Indiana Stem Cell Bank $ 999
Utah Stem Cell Bank $ 775
Colorado Stem Cell Bank $ 1395
New York City Stem Cell Bank $ 1395

Laboratory Total:

Select Storage Plan:

1 Year Storage $ 115
5 Years Storage $ 545
10 Years Storage $ 1090
20 Years Storage $ 2180

Storage Total:

Select Financing:

Full Payment
6 Month - Payment Plan*
9 Month - Payment Plan*

Lab:

Total:

6 Monthly Payments Of:

9 Monthly Payments Of:

*A $2 service fee will be added to each monthly payment.

Order Information:

GRAND TOTAL:

Total Paid Today:

Credit Card Information:

Credit Card Type:

Expiration Date:

Card Number:

Complete Order Now

AlphaCord The Cord Blood Preservation Experts

Toll Free 866.396.7283