178

Sample Request Order Form

Please fill out form and print

Name
Street address
Address 2
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

Please check the sample (s) that you want to order.

Healing Hair Care:Carrot Oil   Olive Oil  Hair Mayonnaise    Uplifting Shampoo Elastic-i-Tea   No More Flakes  Dry Scalp Relief Oil       

Natural Hair Care  :     Anti-Itch Scalp Oil    Lock & Twist Gel     Herbal Cleanse         Nature's Shine    Shea Butter Lotion                                                                      

Anti-Bump System:  Anti Bump Lotion       Anti-Bump  Spray

Please include your printed form along with cash, or a money order to:  Namaste Labs      Attn: Web Team  P.O. Box 178, Blue Island, IL 60406 

Shipping and handling is $1 for every 2 samples you select.

 

Please include your printed form along with cash or a money order to: Namaste Laboratories Attn: Web Team P.O. Box 178, Blue Island, IL 60406

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