AlphaCord

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To get started, we only need a few details from you today to
complete the ordering process.

Order Summary

TODAY’S TOTAL

STEP 1: YOUR INFORMATION

STEP 2: SHIPPING

Where should we ship your
collection kit(s)?

Same address as contact

Enter new address

Please Select How Your Collection Kit(s) Will Be Sent From AlphaCord To You:

Hospital Address

Please Select How Your Collection Kit(s) Will Be Sent From Your Hospital
To Our Lab:

Priority Overnight – FREE

Specialized Medical Courier - $250

STEP 3: PAYMENT

Billing Address

Same address as contact

Enter new address

First name *

Last name *

Country / Region *

Phone *

Email address *

Street address *

Town / City *

State / County *

Postcode / ZIP *

Credit Card

Product Quantity	Total
Cart Subtotal	$0.00
Order Total	$0.00

Credit Card (Stripe)
- Use a new payment method
Card Number *

Expiry Date *

Card Code (CVC) *

Save payment information to my account for future purchases.
PayPal

Pay via PayPal.

Update TotalsUpdate totals

Your personal data will be used to process your order, support your experience throughout this website, and for other purposes described in our privacy policy.

I have read and agree to the website terms and conditions *

By clicking place order, I agree to AlphaCord’s terms and conditions and privacy policy.
Show plan disclosures.

What happens next?

After you complete your order, we will send a packet with everything you need to know. Welcome to the AlphaCord family!