Record of Product Purchase


Scan your invoice and upload the image file here (or attach it to an email and send it to

Please scan your last invoice or receipt of AMORE products and name the scanned file using the Order Number. Upload the invoice file below (acceptable file formats are: .JPG, .PNG and .PDF). The invoices you upload must correspond to the purchase information you entered above.

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Fill in the details of the purchase transaction as they appear on the scanned invoice in the form below.

[contact-form to=’’ subject=’A Customer Added a New Product Purchase’][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Email (same address as your login)’ type=’email’ required=’1’/][contact-field label=’Purchase Date (on invoice)’ type=’text’ required=’1’/][contact-field label=’Invoice Number (must match scanned invoice)’ type=’text’ required=’1’/][contact-field label=’Total Purchase Amount’ type=’text’ required=’1’/][contact-field label=’Distributor Name’ type=’text’ required=’1’/][contact-field label=’Items Purchased’ type=’textarea’ required=’1’/][contact-field label=’Preferred Free Products’ type=’textarea’/][/contact-form]