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The Company

Company name *

Company address *

Zip/Area code *

City *

State *

Country *

The Buyer

Mr/Ms  MrMsMrs

First Name  *

Last Name  *

Title/Position

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E-mail *

The order

Type of oil
Cosmetic Argan Oil
Culinary Argan Oil
Baobab oil
Cactus oil
Shea butter
Nigella oil - black seed oil

Type of order
Trial Order:
sample 1L HDPE bottle
sample 30 ml glass bottle

Purchase Order:
Order volume: 
litres      tons

Delivery address

Company address

Zip/Area code

City

State

Country