Southern Sweet and Sassy Lips
LipSense Order Form
Email address *
Last Name, First Name *
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Street Address *
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City *
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State *
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Zip Code *
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Phone Number
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Items Purchasing *
LipSense Items Desired (Please specify the amount, Starter Kit + Color or Individual Color)
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Payment Method *
Method of Delivery *
Promo Code?
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Would you be interested in becoming a wholesale customer or distributor for only $55 for 20%-50% off product? (no monthly minimums!) *
A copy of your responses will be emailed to the address you provided.
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