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Request for an In Home Party with LoThEMaR Opals
This form gathers information to set up an in Home Party for a visit from LoThEMaR Opals.
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* Indicates required question
Host Information
Last Name
*
Your answer
First Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Contact Phone
*
123-456-7890
Your answer
Email
*
myname@gmail.com
Your answer
Party Information
Please note that a table massage will require an 8' x 10' open area for set up and the massage service. LoThEMaR Opals simply requires a small table to set up and can adapt to the space available.
1st Choice Date/Time
*
MM
/
DD
/
YYYY
Time
:
AM
PM
2nd Choice Date/Time
*
MM
/
DD
/
YYYY
Time
:
AM
PM
3rd Choice Date/Time
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Your answer
Specific Requests
This will help us focus the inventory we bring with us.
Anklets
Bracelets
Everything!
Fluorescent Minerals
Fossils
Natural Rough Crystals/Specimens
Opals
Pendants
Rosaries
Rosary Bracelets
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