Custom Quote Form

Please submit as detailed information as possible so that we may fill your needs.  Ebay & Other Goods stands by to provide all your needs in the holistic arena.

Please note that this constitutes a firm offer to purchase if you indicate a price, and we accept your price.  We can give you a better price if you wish to purchase several different items.

Please make serious inquiries only if you are ready to purchase today.

* Indicates a required field

Name:*

Company:

Phone:*

Fax:

E-Mail:*

Address:

City:

State:

Zip Code:

Country:

Additional Address info:


Brand Name:
Hauschka
ZIA
Avalon
derma e
Jason Natural Cosmetics
Oil of Olay
Neutrogena
Other
Not Applicable

Type of Product:
Facial Care
Body Care
Shampoos / Conditioners
Bath and Massage Oils
Soaps
Sunscreens
Makeup
Vitamins and Supplements
Other
Not Applicable

Category of Product Interested in (check one or more):
Natural
Organic
Anti-Aging
Mineral based

Type of Buyer:


Description of requested item:

Optional Description or Comments: