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Custom Order Request Form
After you fill out this order request, we will contact you to go over details and availability before the order is completed.
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* Indicates required question
Email
*
Your email
What are the items you would like to order?
*
10 oz. Glass Candles
4 oz. Travel Tins
2 oz. Samples
Incense
Room Sprays
Reed Diffusers
Wax Melts
Other:
What is your name?
*
Your answer
What is the name of your company?
*
Your answer
Where are you located?
*
Your answer
Phone number
*
Your answer
I am looking for:
*
Wholesale Pricing
Corporate Gifting Price
Other:
Is customization required? Please note that we are not currently accepting white label orders.
*
Yes
No
When do you need your order by?
*
MM
/
DD
/
YYYY
How many are you looking to purchase?
*
Your answer
Special Requests or comments?
Your answer
Send me a copy of my responses.
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