Lago Eliquid Wholesale Order Form

Lago Eliquid Distro Order Form (UK)

Invoices sent within 24hrs. All discounts will be applied at time of invoicing.
International payments through wire transfer via TransferWise only. If you do not have a TransferWise account, a link will be supplied via email along with your invoice.
Name *

Prefix First Name Last Name
Company Name *
E-mail *
Shipping Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Billing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Special Instructions
Click checkbox & enter quantity of flavors
prev next ( X )
Lago £ 5.00 GBP
Black Currant, Raspberry, Pear & Sweet Strawberry 70/30 Zero Nicotine 100mL (120mL Shortfill Bottle)

Quantity

Lago Ice £ 5.00 GBP
Black Currant, Raspberry, Pear & Sweet Strawberry with Icy Blast 70/30 Zero Nicotine 100mL (120mL Shortfill Bottle)

Quantity

Lago Mangodew Papayaloupe £ 5.00 GBP
Honeydew, Mango Papaya, Cantaloupe 70/30 Zero Nicotine 100mL (120mL Shortfill Bottle)

Quantity

Lago Mangodew Papayaloupe Ice £ 5.00 GBP
Honeydew, Mango Papaya, Cantaloupe with Icy Blast 70/30 Zero Nicotine 100mL (120mL Shortfill Bottle)

Quantity

Subtotal £ 0.00 GBP Shipping £ 0.00 GBP Total £ 0.00 GBP
Are you a robot? *
Should be Empty:

Lago Eliquid Distro Order Form (UK)