MilkofMoisture Samples 
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Name ( First, Last )
Address (Don't forget to put your city, state and zip code)
Phone Number 
Email 
If you want to sample a Body Butter. Please choose ONE scent you would like to sample, by marking a check mark by the scent.
If you want to sample a Sugar Scrub. Please choose ONE scent you would like to sample, by marking a check mark by the scent. 
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