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Order a Collection Kit

The Collection Kit includes everything the doctor or midwife will need to collect the umbilical cord blood of your baby and the shipping container you will need to return the kit to us. It will also contain a copy of our Service Agreement, which you should read, sign and return to us before the birth.

You can now order the cord blood Collection Kit online using your debit or credit card. We use the Worldpay service to ensure completely secure transactions.

Please enter the following details:

Anticipated Date of Birth:

Mother's First Name:

Mother's Surname:

Father's First Name:

Father's Surname:

Address:  

Post Code:

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Telephone:

Parent's e-mail:

Maternity Hospital:

Please let us know how you heard about Future Health:Please select from the listAnte-Natal ClassBountyFrom a Friend or RelativeInternet Search-BingInternet Search-GoogleInternet Search-YahooGP / Obstetrician / Midwife RecommendationLeaflet at HospitalMagazine / Newspaper ArticleMagazine / Newspaper AdvertRadio Programme / AdvertShowTV Programme / AdvertOther

If other, please enter here:

Please enter the following payment details:

Please note that, for security reasons, we can only send Collection Kits to the cardholder address shown on the card statement.

Name on Payment Card:

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Card Statement Address:  

Post Code:

Cardholder's Telephone:

Cardholder's e-mail:

Click here if you would like to review the Storage Agreement before proceeding:

Click here to proceed to payment pages

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