Pink Midorii Custom Order Form

Custom Order Form

Please provide your order details to complete your purchase.
Date*

MonthDayYear
Date
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Delivery Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Personalization Request/theme/character:*
Please upload any reference photos you have:

Cancelof
White Bottle with White LidBlack BottlePurple BottleWhite Bottle with Black Lid
Disclosure and Agreement Policy

Processing & Shipping. Please note that all custom orders require 6–8 weeks processing time due to personalization and production. Shipping time is an additional 5–7 business days after processing is complete. Warranty & Replacement Policy All bottles come with a 90 day warranty. If your bottle breaks, peels, or scratches, you are eligible for a free replacement bottle. To request a replacement, please contact us on Instagram: @pink.midorii Refund Policy Refunds are accepted within 30 days of purchase. Items must be returned in original condition unless defective. Customer Agreement By signing below, you confirm that all order details are correct and agree to the processing times, refund policy, and warranty terms listed above.
I agree and understand the disclosure and agreement policy. *
Signature*

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Payment*

Custom Protein Shaker (1 Character)

$52.00 Quantity

Custom Protein Shaker (2 Characters)

$62.00 Quantity

Custom Protein Shaker (3 Characters)

$72.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card

Apple Pay

Cash App Pay

Afterpay