Step #5: Shipping Kit Payment

Payment Status & Method:

First & Last Name: (needed on each page to link to your file)

Paying Timeframe:

Paying Now (recommended if close to or past 34 weeks gestation)

Paying Later (please send payment reminder at 34 weeks)

Paid Via:

Venmo Sent

CashApp Sent

PayPal Sent

Credit Card (Stripe) Payment Sent

Please send information manually to pay via Zelle

Please send information manually to pay via ApplePay

Please send information manually to pay via personal check/money order

Paying Later

Enter name/user name on payment app if differs from name used at signup:

Payment Amount:

$50 for Shipping Kit/Program Cost

Product Cost (amount varies depending on selections) (Shipping Kit/Program Cost previously purchased)

Total Balance: Product Cost (amount varies depending on selections) + $50 for Shipping Kit/Program Cost

Receipt Options:

I do not need a receipt

Send receipt via text

Send receipt via email

Once paid, shipping kit will be sent at approximately 34 weeks gestation (unless requested sooner for history of/suspected premature labor) or ASAP if after that point. However, please do not let timing deter you. As long as placenta is stored correctly after birth it can encapsulated up to 6 months later if frozen in regular freezer.

I understand

Remaining balance of service & chosen product are NOT due until time of processing. However, total balance must be paid at time of placenta processing. If desired, total payment or smaller payments can be made at anytime.

I understand

Shipping Kit/Program Cost is refundable if cancellation occurs before package sent. Shipping Kit/Program cost is non-refundable after shipping kit is sent (typically at 34 weeks or ASAP if after that point).

I understand

Anything else?