Kit Order Placement

Please use the form below to order your kits. If you need kits sent to multiple addresses please complete the form for each delivery address.

This service is only available to customers who have an account with Cellmark. You can obtain a quote and set up an account by completing our quote request form and an advisor will be in touch. Alternatively you can order your kits and pay for your testing by visiting our online shop.

Name *

Email Address *

Customer PIN *

Purchase Order (PO) Reference

Number of kits *

Specify a different delivery address

Yes
No

Delivery Address

Address Line 1

Address Line 2

Town/City

Postcode

Please indicate your preferred delivery schedule and we'll try our best to accommodate your requirements e.g. immediate dispatch, staged deliveries, target arrival date.

Consent for storing submitted data *

Yes, I give permission to store and process my data