Preferred date to receive order (please choose a Thursday, we ship once a week on Wednesdays, via FedEx Priority Overnight on dry ice)

MM

DD

YYYY

Name *

First Name

Last Name

Shipping address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone number *

(###)

###

####

Acknowledgements *

I understand the the cost for overnight shipping via FedEx on dry ice is a $350 flat fee to any of the United States

I will have a -20C (or colder) manual-thaw freezer, or a cooler & ability to stock dry ice for long enough to preserve the product (at least 10-15 pounds of dry ice per 48 hours)

Donors have NOT limited allergenic foods (eg peanuts, shellfish) from their diets unless the client has contacted Probiotic Infusions for a special order

I understand that Probiotic Infusions products are intended to support healthy microbiome balance. Unlike prescription microbiome therapies, our products are available for independent research and personal exploration only.

I understand that minimum donor laboratory screening consists of the following: HIV, syphilis, viral hepatitis, H pylori, common enteric pathogens, parasites and ova, C difficile, MDRO testing, & 16SrRNA/whole genome sequencing to assess normal flora