sample party form

 

De Lune is working on a new formulation of the menstruation tonic that packs more power in fewer fluid ounces. Sign up here if you're interested in trying out the new tonic and giving us feedback!

 

Please complete the form below to receive FREE samples

We respect your privacy. We will not share this information with any other entity.

Name *
Name
Tell us about what you thought of the taste and feeling of drinking the tonic. Anything we should change?
0 being "no pain" and 10 as "extreme pain"
Let us know where and how you experience period pain. Feel free to use a metaphor! Example: cramping, back ache.
Would you like to receive updates from us periodically? *pun intended*