JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
High Intensity Lip Kit Pre-Order Form
After you fill out this order request, we will contact you to confirm the details before the order is marked completed and submitted for processing. Order updates and estimated delivery dates will be given through email. If you have any questions, please contact us at (801) 380-5204 or
katina.burt.stephens@gmail.com
*All sales are final*
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Lip Kits
What color(s) would you like to order?
*
Dexonna ($45) - Neutral Nude
Natalie ($45) - Pinky Nude
Alexsys ($45) - Neutral Brown
Hannah ($45) - Mauve Pink
Whitney ($45) - Pinky Red
Brynn ($45) - Berry Pink
Caitlin ($45) - Cherry Red
Lizzy ($45) - Brick Red
Sasha ($45) - Deep Red
Required
How many of each color(s) selected are you ordering?
*
Your answer
Shipping
*
Pick up in UT County, Utah (Free)
Shipping ($5 Flat Rate)
Order Total
Add up your order total, including shipping if requested:
*
Your answer
Contact info
Your name
*
Your answer
Phone number
*
Your answer
Address (If shipping order)
Your answer
Questions, comments, special requests
Your answer
Payment
To complete your order, send your total to:
Venmo: @katina-stephens-1
PayPal:
katina.burt@gmail.com
Cash/Check: 929 S Main Street, Orem, Utah 84058
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
