Order Form for Glo Products Current Glo clients can use this form to order your products. If you are not a Glo client please text 617-916-9119 and we will set up a virtual consultation for you. Order Form Name * First Last Name * Last Email * Phone How would you prefer to contacted to complete your order Text Phone Call Email C-Quence Serum 1 C-Quence Serum 2 C-Quence Serum 3 C-Quence Serum 4 Intensive Serum 4 Plus Defense Creme Defense Creme Plus Eye Gel (not pictured) Cleansing Lotion Moisturising Toner AVST Gel AVST Moisturiser 2 AVST Moisturiser 3 AVST Moisturiser 4 AVST Moisturiser 5 Clay Masque Eye Gel Hydrating Serum Hydrating Oil Capsules Super Moisturiser Revival Masque Avance Moisturiser Frown Serum Sebu-Wash Cleanser Sebu-Clear Masque Sebu-Tone Clarifier Sebu-ACE Oil Sebu-Lac Lotion Mela-Prep Lotion Mela-Even Cream Mela-Fade Serum System Derma-Lac Lotion A, C & E Oil Intense Moisture Serum A.G.E. Eye Repair A.G.E. Defence Cream GF Advanced Derm cream Essential Oil Complex Essential Infusion Dry Oil Active Exfoliant Powder Sensiderm Treating Mist Hydramucine Cleansing Milk Diamond Serum Diamond Eye Contour Daily Ceramide Comfort Hyaluronic Filler Instant Radiance Anti-Aging Patch City D-Tox Serum Lip Balm Lip Plumping Complex Clear (not pictured) Lip Plumping Complex Rose UV Replenish Broad Spectrum SPF 44 UV Elements Broad Spectrum SPF 44 - Tinted UV Lotion Broad Spectrum SPF 30 UV Clear Broad Spectrum SPF 46 -TInted UV Clear Broad Spectrum SPF 46 Foaming Facial Cleanser PM Therapy Moisturizer Additional Information for your aesthetician/nurse Submit If you are human, leave this field blank.