Breastmilk Order Form

Breastmilk Soap Order Form

Nubian Kettle
Breastmilk Soap Order Form

Congratulations on Creating Your New Product! We will need you to answer a few questions to ensure that we get your order correct and produce the highest quality product. Please ensure you fill out the form completely.
Customize your own Breastmilk Soap! This service includes a full loaf or set of molded soap using your breastmilk. Each loaf is customized with luxury oils and butters, such as Babassu Oil and Raw Shea, Tamanu, or Mango Butter.

When your order is placed we will contact you to customize your Breastmilk Soap recipe. An insulated bag and ice pack will be shipped to you. Please place insulated bag and icepack in freezer for several hours before shipping back with breastmilk, to allow the ice pack to freeze. Once I receive the frozen breastmilk the soap will be made and will take 3-4 weeks to cure. This curing time allows any residual liquid to evaporate and also improves the soap’s lather. After curing, the soap will be shipped right to your door!

Why Breastmilk Soap?

Breastmilk is higher in fats and sugars compared to other milks used in soaps. This creates a wonderful, soft lather that gives a gentle, yet powerful clean. This soap can help your baby who may be suffering from excema and moisturize any skin, both baby and adult.

Lets Begin.....
Name

First Name Last Name
Email
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
How much breastmilk do you have?
Please specify if you have bags or bottles and the approximate amount of ounces. You will need a minimum of 12 oz
How would you like your soap prepared? (Choose more than one if you are purchasing more than one type)

Soap Loaf, Cut (one loaf)-$110Soap Mold , Round-$110 (60 bars)Soap Mold, Square-$110 (55 bars)
To confirm your above selection, how many orders of your selection would you like? (Please ensure you are sending enough breastmilk to complete your request)
Enter your order quantity here
What butter would you prefer to use?

Tamanu ButterMango ButterShea Butter
What is your preferred method of contact?

PhoneTextEmail
Is there a specific date you need this order by? **Typical turnaround is 3-4 weeks**

MonthDay Year
Date
Are there any additional details you would like to share?
Please verify*
Signature

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Breastmilk SoapCustomized Luxury Breastmilk Soap
$110.00 Quantity Luxury Breastmilk Soap
Item subtotal:$0.00

Total

$0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
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Please click one of the PayPal options to complete payment and submit the form.

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Breastmilk Soap Order Form

Breastmilk Soap Order Form