USA Customers

Unit Quote

For a unit quote (1-10 units) Please fill in the following form. This form will be re-directed to your local distributor. This form does not inform prices, it just allows you to know your quote through a direct and fast contact between you and the authorized distributor of Elicina that corresponds to your country.
Name *:
Phone Nbr *:
E-Mail *:
State *:
Zip Code *:
Indicate the amount of units
Creams *:
Balms *:
Pocket *:
Comment:
Whole Sale Quote

To obtain a whole sale quote (minimum of 1 box) please fill in the following form with which will be revised by the official Elicina Sales department in Santiago, Chile and answered as soon as possible. This form does not inform prices, it just allows you to know your quote through a direct and fast communication between you and the company Elicina Cosmetics Ltd.
Name *:
E-Mail *:
State *:
Zip Code *:
Company *:
Amount of boxes of cream required (1 box = 48 units)
Creams *:
Amount of boxes of balm required (1 box = 12 units)
Balms *:
Amount of boxes of Pocket required (1 box = 32 units)
Pocket *:
Inform us of the way(s) of distribution you intend to use with Elicina.

Which? and/or
(Comments)
  * These sections must be filled    
Tel: (562) 556 32 56 - Fax: (562) 556 32 64 - Padre Orellana 1319 - Santiago - Chile - E-mail: info@elicina.com
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