Pay Your Invoice

Parent #1 name*
First Last
Parent #2 name*
First Last
Registration number*
(a) Refer to either the Registration number or Customer Number at the top right corner of your invoice.
- For Invoices issued prior to March 1st 2018: Please enter the last five numbers of your Registration Number
- For Invoices issued after March 1st 2018: Please all seven numbers of the Customer Number
(b) If you have more than one sample stored at Cells for Life and each child has a different registration number, the invoices must be paid separately.
Amount you are paying*
Private phone number*
Private email address (Parent #1)*
Private email address (Parent #2)
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Invoice Payment - Amount Being Paid
Price: CAD$ 0.00 CAD
Address*
Street Address City Province Postal Code
Total Payment
CAD$ 0.00 CAD
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

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