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Thank you for choosing Willow Products as your professional wax provider. Please use the form below to place your order. Once you have submitted your order you will be contacted with further instructions and payment information.

If you have any questions or comments, please contact us day or night.

Using the Order Form
To place an order, enter the Catalog Number of the wax you wish to purchase, then enter the number of pounds you wish to order.

Ordering Samples
You can order samples in 1/4lb increments.

Item Number	Quantity (lbs.)

Fields marked with an asterisk (*) are required.

Item Number	Product Description	Quantity (lbs.)

Your Contact Information
First Name: *		E-mail Address: *
Last Name: *		Phone Number: *

Billing Address	Shipping Address
Street Address: *	Street Address: *
Country: *	Country: *
State / Province/Territory: *	State/Province/Territory: *
City: *	City: *
Zip/Postal Code: *	Zip/Postal Code

Additional Shipping Information
Shipping Method :
Shipping Insurance:	Yes No (typically adds between $1.00 and $3.00)
Delivery Confirmation:	Yes No

Paypal Information
Optional- If you will be using paypal to complete your purchase, please enter your paypal e-mail address below. Once we have processed your order, we will send an invoice to this address.
Paypal E-mail Address:

Additional Questions/Comments/Instructions