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Profile details

Information for US customers

Saisei Hawaii Ltd. has started accepting orders from individuals and distributors.

User account information

Password

Confirm password

Confirmation

I'm a Medical Doctor.

No Yes

hospital department (If you answered yes to 1st question.)

The hospital to which you belong (If you answered yes to 1st question.)

I can submit the Identification MD.

No Yes (must be answer below question)

doctor's license ID

Shipping address

First name

Last name

Phone

Country

Zip/postal code

State/province

City

Address

Billing and shipping addresses are the same

Yes No

Billing address