Mail-Order Form

Cigamint
1833 South 1600 East
Salt Lake City, UT 84105

  1. Complete the following order form.
  2. Print the order form; select print from your browser or hand write.
  3. Mail with a check or money order payable to Cigamint.

Name: State:
Address: ZIP:
City: Country:
Regular Pack: Peppermint Oil:
Sample Pack: Mint Mix Oil:
Inhalers Only: Spearmint Oil:
Anise Oil: Wintergreen Oil:
Enter Total Amount Due (add $3.85 USPS Priority Mail):  

Thank You for Choosing Cigamint!