Candle Refill Form

Name *

First Name

Last Name

Phone

Please include your phone number on local pickup or delivery. I will text you to arrange a day and time

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Address *

For shipping your candle back to you. Local pickup/delivery is available for local customers. Please let me know in the notes section at the bottom of the form if this applies to your order. Please read my FAQ's for more details.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date

Please allow 2 to 3 weeks for me to process your order before shipping back to you. However, if you need your item by a specific date please let me know below and I will do my best to process and ship your candle with that date in mind. Please note, I cannot guarantee this date.

MM

DD

YYYY