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Rincon Pamper Me Subscription Box
After you have completed your subscription form your answers will be reviewed and an invoice will be emailed to you regarding payment and confirmation.
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Phone number
*
Your answer
Shipping Street or PO Address
*
Your answer
City, State, Zip
Your answer
Payment Form
Credit Card or Debit Card
PayPal
Venmo
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Payment Option
Automatic recurring payment
Receive an invoice and authorize every payment period - if not authorized you'll miss/skip that months box.
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Age range
*
17-23
24-30
31-40
41-50
51+
Gender preference
Female
Male
Non-Binary
Other:
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Frequency of your Pamper Me box
*
Monthly
Bimonthly
Please click all products that DO interest you
Bath bombs
Shower Steamers
Herbal Tea
Soap
Scrubs
Moisturizers
Hair care
Skin care
Massage
Pet care
Aroma Therapy
Please click all options that do NOT interest you
Bath bombs
Shower Steamers
Herbal Tea
Soap
Scrubs
Moisturizers
Hair care
Skin care
Massage
Pet care
Aroma Therapy
Please click on any areas you would like to focus on
Stress
Insomnia
Physical & Spiritual cleansing
Stomach issues (Celiac, Irritable bowl, etc)
Joint & Muscle pain
Skin aging; dry, wrinkly, and/or dull skin
Premenstrual syndrome, menopause, hormone balance
Immune support
Hair Care
Other:
Click all aromas you DO prefer
Earth & Musk- cedarwood, frankincense, pine, smoke
Fruity & Sweet
Floral; rose, geranium,
Citrus
Spice - clove, cinnamon, allspice
Mint & Eucalyptus
Lavender
Other:
Click all aromas you DO NOT prefer
Earth & Musk- cedarwood, frankincense, pine, smoke
Fruity & Sweet
Floral; rose, geranium,
Citrus
Spice - clove, cinnamon, allspice
Mint & Eucalyptus
Lavender
Other:
Please list all food, herbal, environmental, and medical allergies
Your answer
Are you pregnant, nursing, or plan to become pregnant?
Yes
No
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FYI
Rincon Ranch does not provide any medical care, treatment, or advice. Any herbal remedies do not take the place of routine visits with your health care provider.
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