Request for free samples
After you fill out this request, we will send you PayPal request for shipping. Only after PayPal invoice will be paid we will send your order. If you would like to know more information please contact us at 650-660-7692 or
Your first and last name
Number of your esthetician license or any esthetician of your salon that will work with our product
Company name or beauty salon name (place of work) and address
Address where to ship samples if different from the place of work
E-mail address where we can send PayPal invoice for shipping free samples ($22 within USA)
You agree to pay for shipping via PayPal
Page 1 of 2
Never submit passwords through Google Forms.
This form was created inside of Sugaring Factory.