Juice Cleanse Box Pre-Order Form

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Would you like to SIGN UP for a Monthly Subscription Box at 5% off per Box?* This field is required.Please choose box option below. You will receive a follow up email after your order to complete your subscription. You may cancel at any time.

1 Day Cleanse Box

3 Day Cleanse Box

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Included in Your Box:

Organic Tropical Green Detox Smoothie (2-16oz bottles per day)
Ingredients: Spinach, Green Kale, Purple Kale, Chard, Collard Greens, Dandelion Greens, Parsley, Mint, Mango, Pineapple, and Spring Water

Organic Original Green Detox Smoothie (2-16oz bottles per day)
Ingredients: Spinach, Green Kale, Chard, Collard Greens, Dandelion Greens, Celery, Cucumber, Mint, Ginger, Apple, and Spring Water

Organic Root Detox Juice (1-16oz bottle per day)
Ingredients: Carrot, Apple, Beet, Cucumber, Lemon and Ginger

Organic Plant-Based Meal Replacement (Orgain) Powder - Vanilla
Ingredients: Organic Plant-Based Protein Powder Blend, Organic 50 Superfoods Blend

Herbal Detox Tea $8.00 (optional add-on)
Ingredients: Hibiscus Flower, Soursop Leaf, Ginger, Rosemary, Orange Peel, Clove, and Cinnamon

Wellness Immunity Shot 2oz $4.00 (optional add-on)
Ingredients: Cold-pressed Ginger, Turmeric, Orange, Apple, Lime, and Black Pepper

Sea Moss 12oz $25.00 (optional add-on)
Ingredients: Wildcraft Sea Moss and Spring Water (Flavors: watermelon pineapple (seasonal), pineapple mango, original, lemon lime)

Free reusable Noire Nurse Wellness Grocery Bag with every Box Purchase

Local pick-up and Local Delivery (fees will apply). Additional Shipping fees will apply - please send an email to info@thenoirenurse.com to inquire about shipping fees prior to completing your purchase. Pick-Up and Delivery Dates may Vary - all cleanse boxes are made fresh to order, so please allow 3-5 business days for preparation.

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Full Name* This field is required.Please type your real name, not your nickname.

First Name

Last Name

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Contact Number* This field is required.Please provide your cell phone number.

Ex. 906-501-7365

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Email* This field is required.Please provide your email address.

example@example.com

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Mailing Address* This field is required.Please provide your current mailing address.

Street Address

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City

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Order Cleanse Boxes and Add-Ons* This field is required.Place your Cleanse Box Order and optional Add-Ons

My Bag

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Juice Cleanse Detox Box
Includes the following (per cleanse day): 2 - 16oz servings of Original Green Juice, 2 - 16oz servings of Tropical Green Juice, 1 - 16oz serving of Root Juice, & a Vanilla Protein Shake
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Hibiscus Detox Tea (optional add-on)
12 tea bags of herbal detox tea blend. Makes up to 2 cups, per bag (depending upon desired strength). Ingredients: a special blend of dried hibiscus flowers, soursop leaves, ginger, turmeric, orange peel, clove, & cinnamon.
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Wellness Immunity Shot
2oz shot of pure, cold-pressed ginger, turmeric, orange juice, lime juice, apple juice, and black pepper. Just the right blend to give your body the immunity boost it needs. Drink daily to keep your immune defenses up!
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Sea Moss Gel (optional add-on)
12oz bottle of handmade fresh wildcraft St. Lucian Sea Moss gel. Just the right blend to give your body the immunity boost it needs. Packed with 92 of the 102 essential minerals the human body needs to function. It also helps aid weight loss, promotes thyroid health, diabetes health, aids in digestive health, increases mood and energy, etc. Drink 1-2 tablespoons daily for optimal health & wellness.
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Quantity
Original
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Watermelon Pineapple (Summer Only)
Pineapple Mango
Lemon Lime
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Pick Up / Delivery Option
Free Pick Up or Delivery (for a fee) to the following: (1) LA Area: Los Angeles, Hawthorne, Inglewood, Culver City; (2) Beach Cities: Santa Monica, Venice, Redondo Beach, Manhattan Beach, El Segundo, Hermosa Beach; (3) LB/SFV/AV: Long Beach, San Fernando Valley, Antelope Valley; (4) Shipping (varies)
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Shipping (minimum charge -- you will be contacted via email if additional fees required)
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# of Cleanse Days	Quantity		Price
1 Day	1 2 3
3 Days	1 2 3

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Do you have any food allergies? If none, type N/A* This field is required.

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Please take a Moment to Review our Pick Up, Delivery, & Shipping Options

Pick Up:

Pick Up available from 9am-noon. Pick up date and address will be provided upon receipt of payment. Please allow 3-5 days from purchase for processing.

Delivery:

Once payment is received (including your delivery fee), you will receive an email to schedule delivery to your address. Please allow 3-5 days from purchase for delivery.

Shipping:

Shipping is available to the United States ONLY. Due to the nature of our fresh organic juices, all juices will be shipped frozen. Shipping fees vary based on location. Minimum shipping fee is $30. You will be contacted after purchase with additional shipping fees, if applicable. Feel free to send an email to info@thenoirenurse.com to inquire about shipping fees to your area prior to your purchase.

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STOP! Payment Required to Confirm Your Order!

Please remit full payment of ${order} to:

CashApp: $thenoirenurse; Venmo: @thenoirenurse; or Paypal: paypal.me/thenoirenurse

Your order will not be processed until payment has been received.

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Mode of Payment* This field is required.I have sent my payment to the following, and acknowledge that my order will not be processed without receipt of full payment.