TEA KIT ORDER FORM

TEA KIT ORDER FORM
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
PUT YOUR FAVORITE FLAVORS BELOW: ( I CAN MAKE SPECIALTY KITS ) this also helps me get ideas for new flavors!
PICK UP OPTIONS
PAYMENT OPTIONS (after you place order I will get in contact with you for payment)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
My Products
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POWER
GRAPE & BLUE RASPBERRY

$10.00 Quantity
Item subtotal:$0.00



SPACE
BLUE RASPBERRY & POMEGRANATE

$10.00 Quantity
Item subtotal:$0.00



MIND
LEMONADE

$10.00 Quantity
Item subtotal:$0.00



SOUL
ORANGE

$10.00 Quantity
Item subtotal:$0.00



REALITY
PINEAPPLE & STRAWBERRY

$10.00 Quantity
Item subtotal:$0.00



TIME
GREEN APPLE & LEMON LIME

$10.00 Quantity
Item subtotal:$0.00



Subtotal

$0.00

Shipping

$0.00

Total

$0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty: