Product Order — Botanica Clean

Starter & Refill Kit Order Form

Complete this form whenever you require a new Starter or Refill Kit. Please allow 5-7 days for it to arrive.

If your order is urgent, please let us know via email - team@botanicaclean.com.au.

Name

I need to order a new:

Starter Kit

Refill Kit

Starter & Refill Kit

The postal address is:

Optional - I'd like more information regarding accessible PPE Equipment provided by Botanica Clean (disposable gloves, disposable N95 masks, safety goggles etc)

I confirm my Phone Number & Email Address that I provided when I joined Botanica Clean is still the same:

Yes

No - please update below:

I confirm my Emergency Contact that I provided when I joined Botanica Clean is still the same:

Yes

No - please update below:

Starter & Refill Kit Order Form

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