PRODUCT ORDER FORM
Please provide the following information to order your favorite Zuresh Products!
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PICKUP (Rampak House of Scents) 2951 W 63rd St, Chicago, IL 60629 Mon.–Sat. (10am-6pm)
DELIVERY ($10 Delivery Fee)
Address For Delivery (If Applicable)
Street Address
Street Address Line 2
City
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PRODUCTS
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HAIR
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DELIVERY
We will deliver to your home address once your order is ready.
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
BODY
Shea Body Blends
(3 for $45)
$19.25
$
19.25
SCENTS
Quantity
Price
Wonderful (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Far Away (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Tranquil (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Irie (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Tropical Spa (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Essence (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Lemon Cake (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Pumice ( 4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Me Baby (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Cashmere Luv (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Sunset (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Clean (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Lavender Luv (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Intimacy (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Plain (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Island Love (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Poetry (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Nature (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Speechless (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Promise (4 oz.)
1
2
3
4
5
6
7
8
9
10
$19.25
$
19.25
Whipped Olive Butter & Cucumber Bar Soap
$10.75
$
10.75
SCENTS
Quantity
Far Away
1
2
3
4
5
6
7
8
9
10
Speechless
1
2
3
4
5
6
7
8
9
10
Want
1
2
3
4
5
6
7
8
9
10
Nature
1
2
3
4
5
6
7
8
9
10
Truth
1
2
3
4
5
6
7
8
9
10
Sweet Baby
1
2
3
4
5
6
7
8
9
10
Pure
1
2
3
4
5
6
7
8
9
10
Cashmere Luv
1
2
3
4
5
6
7
8
9
10
Sunset
1
2
3
4
5
6
7
8
9
10
Clean
1
2
3
4
5
6
7
8
9
10
Indulgence
1
2
3
4
5
6
7
8
9
10
Unscented
1
2
3
4
5
6
7
8
9
10
HEALTH
Female Balancing Spray
$28.75
$
28.75
Quantity
1
2
3
4
5
6
7
8
9
10
Antioxidant Plus Full Body Spray
$20.50
$
20.50
Quantity
1
2
3
4
5
6
7
8
9
10
Golden Lion Balm
$20.00
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
HAIR
Smoothing Detangler and Natural Curl Definer
$18.25
$
18.25
Quantity
1
2
3
4
5
6
7
8
9
10
8 oz.
16 oz. (+$11.50)
GET IT WET (HAIR & BODY)
$18.25
$
18.25
Quantity
1
2
3
4
5
6
7
8
9
10
8
"Leave Me In" Conditioner
$20.25
$
20.25
Quantity
1
2
3
4
5
6
7
8
9
10
PH Balancer Shampoo
$20.25
$
20.25
Quantity
1
2
3
4
5
6
7
8
9
10
HOUSEHOLD
Laundry Detergent (Powder)
$17.25
$
17.25
Quantity
1
2
3
4
5
6
7
8
9
10
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