Reorder Blend Request

1

Email* This field is required.Use the same email from your consultation

example@example.com

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

2

Your name* This field is required.Use same name from your consultation form.

First Name

Last Name

3

Do you have your Blend ID? (Located on your reorder card, inside box lid or bottle)* This field is required.

Yes

No

4

Enter Blend ID:* This field is required.

6

Any details that help identify your previous blend? * This field is required.Name, purpose, crystals, oils, etc.

7

What would you like to do?* This field is required.

Reorder my blend exactly the same

Reorder with small changes

8

What would you like to adjust?* This field is required.

Strength/ intensity

Add crystal infusion

Remove crystal infusion

Other

Nothing

9

Please describe any requested adjustments.

If there are major changes you will need to submit a new Consultation to create a new blend.

10

Have any allergy concerns or sensitivities changed since your last order or if ordering for someone else?* This field is required.

ex: medications, illnesses, pregnant/nursing, etc.

11

Anything else I should know before preparing this reorder?

ex: yes(explain) or no

12

Review outcome* This field is required.

adjustment

reorder

denial

13

Blend Request Acknowledgment* This field is required.