Order Form for Botnia & Eminence:
I have had an influx of retail purchase requests. As I wish I could carry all the things available at all time in my treatment room, I unfortunately do not have the space or the financial capabilities! Please let me know which products you would like & I would be more than happy to have them on their way in no time. Thank you for supporting Refined Sugar & Skin!
Full Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Please list products you would like for me to order within 7 days of this request:
*
Pickup Option:
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ASAP - At Swoon Salon Reception
No Rush - At My Next Appointment
I understand that the card on file will be charged for the products requested above:
*
Yes, I approve of charging my card on file via my Square account for the products requested above.
No, I do not have a Square account & would like to be sent an invoice.
Signature
Place Order
Place Order
Should be Empty: