• You must be a practitioner, student practitoner or retailer.
• Student practitioners must supply a current and valid ID.
  

Monthly Accounts, International Accounts & Student Accounts:

• Students are only eligable for a cash account and all orders must be paid for as they are placed.
• Student orders can be paid for by bank transfer or credit card. Orders will be shipped upon payment confirmation.
• All international accounts (outside of NZ) are required to supply a vaild credit card. Orders will be shipped upon payment confirmation.
• International accounts must supply a physical delivery address. We do not deliver to International PO Boxes.
• All monthly accounts must be paid by the 20th of the following month.
• All monthly account orders placed on the 25th or later will be invoiced for the 1st of the following month.
• BioTrace bank account details can be found at the bottom of this page.

Freight & Specials Information:

• All orders over $200+gst are freight free.
• Buy 12 of any product and receive 1 free or buy 24 and get 3 free.
• FREIGHT FEES:
  Small orders: $3.50+gst
  Medium orders: $6.00+gst
  Large orders: $7.50+gst
  
  Auckland orders: Max of $5.00+gst (up to 25kg)

Name:		*
Email:		*
Company Name: (or type Student)		*
Delivery Address: (Please supply physical address if not located in New Zealand. International PO Boxes are not accepted)		*
Postal Address: (leave blank if same as delivery address)
Phone:		*
Fax:
Practitioner Qualifications: Or current course		*
Trade References: One reference minimum		*
Credit Card No: Visa or Mastercard	Expiry * Required for student accounts unless "Bank Transfer" is specified in the next field. Please contact us on 09 570 5923 if you do not wish to submit credit card information via internet.
Order Payment by Bank Transfer: Optional for students	Yes No * Select "Yes" if student without a credit card. NOTE: Student orders are shipped upon payment confirmation.
Student ID No:	Expiry
Recieve Monthly E-letter?	Yes No
	Fields marked with * are required.