Delivery Order Form

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Delivery Order Form

NOTE: Deliveries are within the San Gabriel Valley and surrounding area. Please message us if you are outside this area. Delivery fee is $2.50 with a minimum of $10 (before delivery fee).

----------------------------------------------->>>>>> INSTRUCTIONS: <<<<<<-----------------------------------------------
NOTE: Please allow up to 72 hours for delivery.

1. Please fill out all items on this form and be as descriptive as possible when listing products as we have many different kinds of scents/products/brands. Please include product brand, type (scent or unscented, daily, color extend, etc), amount (1/2 bottle, full, ounces).
2. After order form has been submitted you will receive a confirmation and a date your delivery can be expected via email or text. Delivery usually is scheduled within 72 hours.
3. If you will be providing your own bottles please leave them by the front door on delivery date.
4. Please make sure your containers are CLEAN AND DRY.
5. Please label your bottles with product name & amount.
6. You will receive a message when the Refill van is on its way to you.
7. We will then pick up bottles provided, refill, send total, wipe your bottles with disinfectant wipes and drop off ONCE YOU HAVE PAID.
8. If purchasing our bottles you will receive the total once filled. Once paid we will deliver to your front door.

We are currently accepting payments via online so as to avoid physical contact. We have Venmo, Apple pay and Zelle available.

You can find our products here: https://www.refillevolution.com/products

Email *

First and Last Name *

Address, City Zip code and any Special Delivery Instructions (gate code, front or back porch etc) *

Texting Number (we will text you when we are close) *

Are you reusing your own bottles or purchasing new ones? *

Using my own bottles

I need to purchase new bottles

Both

Required

IF you need New bottles, Please be SPECIFIC WHICH bottles you want and HOW MANY you need.

I understand that if I'm using my own bottles they need to be CLEAN AND DRY in order to be filled. If they are not then they may NOT be filled. (Exception is lotion bottles since they are difficult to wash). *

Yes, I understand

I understand that if I am purchasing new bottles, the price is subject to change without notice as manufacturing prices can change at any time. *

Yes, I understand

How are you paying? *

Please select all that apply

Venmo

Apple Pay

Zelle

Do you own a business and would like to set up a monthly subscription or bulk discount account? *

Please select all that apply

YES! SIGN ME UP!!

No I don't own a business.

Please list exactly WHICH PRODUCTS and HOW MUCH you would like. If using your own bottles and you don't know how much, then estimate as best as you can. If you are both purchasing new ones and using your own, then list which products are in the NEW bottles and which are in your OWN. PLEASE BE VERY SPECIFIC. You may find our prices here (you must sign in order to see it): https://www.refillevolution.com/price-list *

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