Formulario 2 – Zona Erógena

Would you like to visit to our store?

Due to Covid-19 we ask all customers to complete this form prior to your visit. Thanks for your understanding.

Start

How would you like to be contacted?

We may need to contact you to confirm your visit.

Email

Phone

Email address

Phone

Have you travelled outside of the country in the last 14 days?

Yes

No

Has someone you are in close contact with tested positive for COVID-19 in the last 14 days?

Yes

No

Are you in close contact with a person who is sick with new respiratory symptoms or who recently traveled outside of the country?

Yes

No

Do you have a fever? (temperature ≥ 37.8°C)

Yes

No

Sorry you can not visit our store at this time

Please contact us

We may be able to help you via email or on the phone.

Choose a prefered time slot

We will confirm your request within 48 hrs. We are open Monday-Friday, 9am to 5pm.

Morning

Afternoon

Date

This field should be left blank