Note: Be sure to check to see if the products you are ordering can be shipped to your country.

Shipping Costs

Shipping Type	Check which method you would prefer
Small Packet Airmail This service is NOT traceable after dispatch and can be used to all countries.
Registered Small Packet Airmail This service is the most secure because it is traceable, but it does take a little longer to arrive. It is not available to the USA. A signature is required on delivery. If we are unable to send it Registered, we will send it Recorded.

Shipping Details
Please ship my order to this address:

Shipping Name
Shipping Address (include your zip/postal code)
Shipping Country
Phone / Fax Number
Email Address
Special Instructions

Payment
I have circled my method of payment:

Mastercard

VISA Card

American Express

Diners Club

Swift Transfer

Cash

Credit Card Details

Credit Card Number
CVC No. (The Card Validation Code are the additional three numbers on the back of your card)
Expiry Date (mm/yyyy)
Credit Card Holders Name
Credit Card Holders Address (include zip/postal code)
Credit Card Holders Country
Issuing Bank of Credit Card (not required for American Express & Diners Club cards)

I have read and agree to the Biogenesis AntiAging Terms and Conditions.

 

Signature: _____________________________