Hello! We are so excited and honored that you have chosen LPE to serve you and your family for your placenta encapsulation needs. Please fill out this form as completely as you are able, as it will help me to ensure the best service possible.
Once this form is received, you reserve your spot with your $50 non-refundable deposit. This deposit goes towards the total cost of services, and the remaining is due upon pickup of your placenta. Upon receiving your deposit, you'll receive my Information & Instruction Packet that details all you need to know on making your postpartum period the best it can be with your placenta capsules!
If you have any questions or there are problems with this form, the best way to contact me is to call me at (308) 293-0342! I am happy to answer & definitely want to make sure you have everything you need!
Congratulations on your pregnancy! I look forward to working with you!
Lincoln Placenta Encapsulationwww.lincolnplacenta.com
P: (308) 293-0342 E: email@example.com
*remaining is determined by the total cost of package(s), any travel expenses, and/or additional services