Your Full Name*

Please enter your full name (first and last name) and fill out this form carefully, as any mistakes may prevent us from processing your order.

Your Active Phone Number *

Please ensure you double-check that the number is correct (the delivery person will call you on this number to deliver your order).

Your Active WhatsApp Number (Double-check the number is correct)*

VERY IMPORTANT: Please ensure this is your active WhatsApp number, as we will use it to update you about your order on WhatsApp and send you setup instructions for connecting the watch to your phone (NOTE that after delivery, the receipt for your order will be sent here also).

Full Address (Home Or Office, We Deliver To Any Location You Want)*

We can deliver to your home or office, or anywhere you want - when the delivery person calls you, kindly direct him to your address and he will gladly deliver your order.

State In Nigeria*

This refers to the state for the delivery address, not your state of origin.

Select The Pack You'll Like To Order*

Starter 1 Bottle Of Kudzu - N35,000

Basic 2 Bottles Of Kudzu - N65,000

Premium 3 Bottles Of Kudzu - N95,000

Select When You Want Us to Deliver Your Order**

Deliver Within 24Hrs (Today or Tomorrow)

Deliver Within 48Hrs (Within 2 Days)

Deliver Within 72Hrs (Within 3 Days)

No, I Am Not Ready At All

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