The Lotion Company Order form
Complete your order below and click "Submit" at the bottom of the page. $10.00 is minimum order amount.

*Required fields

*Your First Name:
 *Your Last Name:
 *Phone #:
*Email:
 Email
*Street Address:
Suite:
*City:
*State:
   *Zip:

Select which product(s) you want below and enter how many you want of each:

Prices:  Note that the 2oz Travel-Pack includes four dispensers in each pack.

 

Product Selection
Vanilla Bronzer 18oz
$16.00 ea

qty.

Vanilla 18oz
$16.00 ea

qty.

Dahlia Blossom 18oz
$16.00 ea

qty.

Fragrance Free 18oz
$16.00 ea

qty.

Vanilla Bronzer 2oz
Travel-Pack of 4 @ $15.50

qty.

Vanilla  2oz
Travel-Pack of 4 @ $15.50

qty.

Dahlia Blossom 2oz
Travel-Pack of 4 @ $15.50

qty.

Fragrance Free 2oz
Travel-Pack of 4 @ $15.50

qty.

Spring Cherry 18oz
$16.00 ea

qty.

Brown Sugar 18oz
$16.00 ea

qty.

Kiwi Mango 18oz
$16.00 ea

qty.

If this is a re-order of a fundraising purchase, please enter your 4-digit discount code here:

Discount Code:

Spring Cherry 2oz
Travel-Pack of 4 @ $15.50

qty.

Brown Sugar 2oz
Travel-Pack of 4 @ $15.50

qty.

Kiwi Mango 2oz
Travel-Pack of 4 @ $15.50

qty.

NEW!  Our Best Lip Balm
To add one or more of these to your order, enter a quantity in the appropriate box below:

Free and Clear lip balm
$2.50 ea   

qty:

  Citrus Grove lip balm
$2.50 ea

qty:

Shipping Information (If different from above)

First Name: Last Name:
Ship to Street Suite
Ship to City State   Zip:  

Billing Information

*Card Type:   Visa                MasterCard
*Exact Name on Card First: Mid: Last:
*Expiration Date
*Card Number:
 *Secure Code No.: (3 digits)
  

Note: A shipping charge will be added to your total at the standard UPS ground rate.
Sales tax will be added for Indiana residents.  Note that $10.00 is minimum order amount.

 

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