PHS HAIRSCIENCE ORDER FORM
Dear Customers, our site is currently undergoing maintenance. We appreciate your kind understanding to fill in the form below to place your orders instead.🙏

You may input any coupon code you wish to use in the last section of this form.

We will contact you for payment separately via email. Kindly look out for an email from us.

Should you face any issues/have any enquiries, please contact: +65 9118 1975 / karin@phshairscience.com .

Thank you 😊
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Which Bundle(s) will you like to purchase? Tick N/A if non-applicable. *
Required
What is the type & quantity of the Bundle(s) you would like to purchase? Type 'N/A' if non-applicable. *
E.g., 1 x Shampoo Bundle (FEM Thickening), 1x Shampoo Bundle (FEM Fortify), 2x Conditioner Bundle(ADV Nutrition), 1x Double Cleanse Shampoo (ADV Nutrition+ADV Soothe Shampoo)
Which Shampoo(s) will you like to purchase? Tick N/A if non-applicable. *
Required
What is the type & quantity of the Shampoo(s) you would like to purchase? Type 'N/A' if non-applicable. *
E.g., 1x FEM Thickening Shampoo , 1x ADV Purify Shampoo, 2x ADV Nutrition Shampoo
Which Conditioner(s) will you like to purchase? Tick N/A if non-applicable. *
Required
What is the type & quantity of the Conditioner(s) you would like to purchase? Type 'N/A' if non-applicable. *
E.g., 1x Age Defy Conditioner, 2x Repair Conditioner, 1x ADV Nutrition Conditioner
Which Tonic/Serum/Essence/Ampoule/Activator/Elixir(s) will you like to purchase? Tick N/A if non-applicable. *
Required
What is the type & quantity of Tonic/Serum/Essence/Ampoule/Activator/Elixir(s) you would like to purchase? Type 'N/A' if non-applicable. *
E.g., 1 x FEM Fortify Tonic, 2x Age Defy Hair Essence, 1x FEM Stem C Ampoule
Which Hair Mask/Spray/Mist/Fix/Oral Supplement(s) will you like to purchase? Tick N/A if non-applicable. *
E.g., 1x Detangling Spray, 1x ADV Argan Oil Treatment Mask
Required
What is the type & quantity of Hair Mask/Spray/Mist/Fix/Oral Supplement(s) you would like to purchase? Type 'N/A' if non-applicable. *
E.g., 1 x ADV Smooth Hair mask, 2x Nutri-Hair Hair Hormones
Your Full Name *
E.g., Nicholas Ong Zhi Kai
Your Mobile Number *
Your E-mail *
Your Mailing Address *
E.g., Blk 305 Lorong Chuan Street 4 Singapore 402305
Are you a new or existing customer? *
Any additional questions/comments? Type 'N/A' if non-applicable. *
*If there's any coupon code you wish to use, you may indicate here*
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