Click & Collect Order Form
Lush Southampton
Full Name
First Name
Last Name
Email Address
example@example.com
Contact Number
What would you like to order? Please specify product size & quantity eg. Daddy-O Shampoo 250g (x2)
*
Would you be happy for an alternative product if any of your items are out of stock?
Would you like your products placed in a 5p carrier bag?
Would you like your products gift wrapped in one of our sustainable cotton knot-wraps for £5?
Would you like to include a gift message? If so, write this below!
This will be handwritten by one of our Team Members.
Would you like to add a Charity Pot hand and body lotion? All money (minus VAT) goes to grass-root human, animal & environmental charities.
10g - £1
45g - £4.50
240g - £16
No thank you
When can you collect your order?
The name of the person collecting the order on your behalf:
First Name
Last Name
Submit Order
All personal details are kept securely on file for future reference. This information will not be used for any purpose other than the purpose that it has been provided for and if that purpose is to change, you will be notified as soon as possible. We will never share your details with any third parties. Information will be held for no longer than is strictly necessary for the purpose in which it was processed.
Should be Empty: