VaporWize Store Order Form
Questions marked by * are required.
1. If multiple flavors put combos in comments section below, use each of three drop downs for separate orders
2. Flavor #1
3. Nicotine Strength #1
  • Zero
  • 6
  • 12
  • 18
  • 24
  • 36
4. Size #1
  • 15 MIL - $10.99
  • 30 MIL - $15.99
5. Flavor #2
6. Nicotine Strength #2
  • Zero
  • 6
  • 12
  • 18
  • 24
  • 36
7. Size #2
  • 15 MIL - $10.99
  • 30 MIL - $15.99
8. Flavor #3
9. Nicotine Strength #3
  • Zero
  • 6
  • 12
  • 18
  • 24
  • 36
10. Size #3
  • 15 MIL - $10.99
  • 30 MIL - $15.99
11. E-Cigs
  • VAPORWIZE EXPRESS KIT 29.99
  • vaporwize STARTER KIT 44.99
  • vaporwize PREMIUM KIT 49.99
  • vaporwize DUO STARTER KIT 64.99
  • VAPORWIZE PREMIUM DUO KIT 74.99
  • VAPORWIZE PERK KIT 59.99
  • VAPORWIZE DOUBLE PERK KIT 89.99
  • BREEZE LED KIT 89.99
  • VAPORWIZE PASS THROUGH KIT 49.99
12. Batteries
  • VAPORWIZE 900MAH 17.99
  • VAPOWIZE 1100MAH 20.99
  • VAPORWIZE PASS THRU 00MAH 21.99
  • VAPORWIZE PASS THRU 1100MAH 25.99
  • EGO PATTERN 650 16.99
  • EGO PATTERN 900 20.99
  • EGO PATTERN 1100 22.99
  • EGO BLACK 900 22.99
  • EGO BLACK 1100 24.99
  • EGO LCD 900 19.99
  • EGO LCD 1100 24.99
  • EGO TWIST 900 29.99
  • EGO TWIST 1100 34.99
  • EGO GLAMOUR 24.99
  • EGO LED 29.99
  • VISION SPINNER 1300 39.99
  • EGO V 650 39.99
  • EGO V 900 44.99
  • 18650 9.99
  • 18350 9.99
  • SAMSUNG 18650 10.99
  • EVOD 650 16.99
  • EVOD 900 19.99
  • EVOD 1100 23.99
  • EGO VV 900 22.99
  • EGO VV 1100 24.99
13. Accessories
  • VAPORWIZE SMALL TANK 7.99
  • CE5 TANK 10.99
  • VIVI NOVA PERK TANK KIT 19.99
  • MINI VIVI NOVA PERK TANK KIT 17.99
  • VAPOWIZE METAL MT3 TANK 12.99
  • DOUBLESTACK TANK 24.99
  • VAPORWIZE GLASS TANK 20.99
  • VAPORWIZE MINI GLASS TANK 17.99
  • KANGER PRO TANK 2 27.99
  • KANGER PRO TANK 3 29.99
  • KANGER UNITANK 24.99
  • KANGER MINI PRO TANK 2 22.99
  • LED ATOMIZER 14.99
  • WICKLESS CE4 9.99
  • I CLEAR 30 24.99
  • MINI CE4 9.99
  • DCT 3ML 12.99
  • DCT 6ML 15.99
  • DCT GLASS 6ML 24.99
  • EVOD 14.99
  • MT3S 16.99
  • T2 12.99
  • T3 12.99
  • T3S 14.99
  • I CLEAR 16 14.99
  • I SMOKA MEGA CLEAR 22.99
  • COBRA 24.99
  • WAX GLOBE 39.99
  • TOBACCO GLOBE 29.99
  • MINI RDA 19.99
  • X8 TANK 19.99
  • ALUMINIUM DRIP TIPS 4.99
  • METAL DRIP TIPS 7.99
  • PLASTIC DRIP TIPS 2.99
  • ROTATABLE DRIP TIP 5.99
  • CONES 3.99
  • NEEDLE BOTTLES 1.00
14. Replacement Parts
  • KANGER CLEAR TANK 6.99
  • KANGER 5PK COIL 10.99
  • KANGER BOTTOM COIL 9.99
  • MT3, MT3S, T3, T3S, CE5,VIVI AND T2 REPLACEMENTS 2.99 TO 4.99
15. Cases/Lanyards/Chargers
  • Vaporwize case 6.99
  • Lanyards 4.99
  • USB 4.99
  • USB cable 6.99
  • Wall charger 9.99
16. Shipping Method
  • Standard - Free
  • Priority $4.99
17. Billing Name *
18. Phone Number:
19. Billing Address
20. Billing City
21. Billing State
22. Billing Zip Code
23. Email: *
24. Credit Card Type
  • Visa
  • Mastercard
  • Discover
  • American Express
25. Credit Card #
26. Expiration Date
27. Security Code On Back
28. Comments/Notes