PLATINUM BIOLOGICS

ORDER FORM

WHARTON'S JELLY AND EXOSOMES

REGENERATE · RESTORE · REVIVE

888-88-REGEN
1510 E Colonial Dr.
Suite 103
Orlando, FL 32803
joy@regeneratejoy.comolga@regeneratejoy.comdovid@regeneratejoy.com

Account Information

Shipping Information

Wharton's Jelly Products

Product
Description
Price for 1
Price for 10
Price for 25
Qty
Total
NanoPRP Jelly
70mg cryopreserved WJ
$150.00
$125.00
$125.00
$0.00
NanoDPM
95mg lyophilized WJ
$260.00
$250.00
$200.00
$0.00
NanoFLEX 1cc
150mg cryopreserved WJ
$561.00
$450.00
$410.00
$0.00
NanoFLEX 2cc
300mg cryopreserved WJ
$781.00
$680.00
$560.00
$0.00
NanoFLOW 1cc
40 million WJ-derived Secretome
$711.00
$611.00
$590.00
$0.00
NanoFLOW 2cc
80 million WJ-derived Secretome
$1,081.00
$950.00
$800.00
$0.00

Exosome Products

Product
Description
Price for 1
Price for 10
Price for 25
Qty
Total
NanoXSOMES
150 billion exosomes cryopreserved
$800.00
$500.00
$500.00
$0.00
NanoEX
Topical only. 30 billion lyophilized exosomes
$250.00
$200.00
$175.00
$0.00
NanoAER
50 billion lyophilized exosomes
$500.00
$350.00
$325.00
$0.00
NanoAER Plus
90 billion lyophilized exosomes
$750.00
$600.00
$500.00
$0.00
LiquiXO
10 billion lyophilized exosomes + essential amino acids
$100.00
N/A
N/A
$0.00
RenewXO
10 billion lyophilized exosomes
$95.00
N/A
N/A
$0.00

Peptides and Diluents

Product
Description
Price for 1
Price for 10
Qty
Total
[Peptide name]
5ml peptide
$81.00
$50.00
$0.00
Hyaluronic Acid - Plant
4ml
$25.00
$25.00
$0.00
Hyaluronic Acid - Human
4ml
$25.00
$25.00
$0.00
PRP Kit
Medical device
$100.00
$100.00
$0.00
GHK-Cu (Topical Only Diluting)
4ml
$25.50
N/A
$0.00

Patient Names / Notes (Optional)

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Payment Information

How would you like to pay? *

For your security, card numbers are never collected on this form. Payment must be confirmed before your order ships.

Order Totals

Subtotal$0.00
Shipping$0.00

Dry ice: $130 / Shelf stable: $35

Total$0.00

Shipping Method *

  1. 1. Fill out the order form.
  2. 2. Submit below, or email quantities wanted to joy@regeneratejoy.com.
  3. 3. We will confirm the order via email or phone prior to shipment.
  1. 4. Tracking number will be sent via email.
  2. 5. Payments MUST be confirmed prior to shipment.
  3. 6. Please order your supply 2 days before your procedure(s).
  4. 7. Shipments are made Monday to Thursday only.

Thank you for your order!