We will no longer accept online orders as of September 16, 2018

Please contact us for info

This form is for Online Orders ONLY. For curbside pickup please click here.

Please complete this form for online orders. Once we receive it, we will process your order and contact you for a credit card to pay over the phone.  There will be a flat fee of $7.20 added to your order for Priority Mail shipping.  Once we create a mailing label for your order, you will receive tracking information at the email address provided.

Name *
Shipping Address *
Shipping Address
NOTE: Billing address and Shipping address MUST be the same. We can only ship to US addresses.
Number of bottles, Flavor Name, Strength, Bottle size
Number of coils, Tank name, Resistance (if applicable)
Terms & Conditions *