Name *

First Name

Last Name

Address *

Address 1

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City

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Roller Choices (Pick 3!) *

boost: peppermint + lemon

digest: digize + peppermint

calm: lavender, valor, peace & calming

be well: raven + thieves

glow: lavender + frankincense

Optional Add-on: Blue Tansy Cloud Serum *

add on a 15ml blue tansy cloud face serum for $20?

yes!

no thanks!

Check this box to confirm you venmo-ed! *

done

Drop your phone # here if you want a reminder about the class when it starts!

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