Order Form

Place an order

Choose your scents and quantities, tell us where to send the invoice, and we will reply with a pro forma invoice.

Orders are paid in full before collection or dispatch. Bulk discounts on qualifying orders are confirmed on your invoice.

Your order

Fields marked optional can be left blank; all others are required.

1 · Your order

I am ordering as

Quantities (200 ml bottles)

Solune
Aurem
Veloré

0 units

Estimate only, before any bulk discount. No VAT is charged (Vivere Bene is not VAT registered).

2 · Your details

Name

Business name

Phone

Invoice address

Collection or delivery

NotesOptional

E.g. a delivery date, gift wrapping, or your client’s name if you are a sales representative.

I understand this is an order request: my order is confirmed once I receive and pay the pro forma invoice in full, and prices may be adjusted from time to time.

I consent to VIVERE BENE (Pty) Ltd processing the personal information in this form to process my order, in accordance with the Protection of Personal Information Act (POPIA) and the Privacy Policy.