Let your skin shine through...

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Product Request

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Product Request

This is a form for customers who want to request a customized product for specific needs.

Full Name *

Email Address *

Phone Number *

Your age range *

Your skin shade *

Your Skin Type *

Normal Skin

Oily Skin

Dry Skin

Combination Skin

Sensitive Skin

Tough Skin

Other (I don't know)

Your Skin Challenge(s) *

Pimples /acne/ blackhead

Redness/sunburn

Body spots

Dark knuckles /knees/elbows

Stretch marks/green veins

Eczema /rashes

White dots/white patches

Other (I don't know)

Unfiltered Picture(s) of affect areas?(you can select multiple) How long have you had your skin issue(s)? * What are the products you have tried?

Do you have any skincare allergies? *

Yes

No

If yes, kindly specify your skin allergies here Delivery Address Additional information

Let your skin shine through...

Plot 24 Adebisi Ogunniyi Crescent, Lekki Phase 1, Lagos, Nigeria
hello@rbo.com.ng

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