Candle order form

Full Name*

First NameLast Name

Phone Number*

E-mail*

example@example.com

Delivery Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Signature Clear Geo Candle 600ml - $70

Signature Candle 550ml - $50

Wax Melts 5PK - $10

Order and Delivery Notes

Payment Type (Pay arrangements to me made via direct message after form is completed)*

Bank TransferCash

We will be in contact with you to confirm a delivery date

Place Your Order Here