Benefits of Being a Licensed Provider:
By submitting this form, I affirm that I have read and agree to Cellular Medicine Association’s terms and conditions and the following statement:
I authorize Cellular Medicine Association to charge me for the order total. I further affirm that the name and personal information provided on this form are true and correct. I further declare that I have read, understand and accept Cellular Medicine Association’s business terms as published on their website. By pressing the Submit Order button on this page, I agree to pay Cellular Medicine Association to become a licensed provider of the trademarked procedures applied for.