Medallion Fragrances 233 West Parkway Pompton Plains, NJ 07444 973-616-3401 Name* First Last Company* Phone*Business Email* Job Title* SubjectGeneral InquiryMessageCAPTCHAConsent* I have read and understood the privacy statement*Consent* I accept and understand that the ingredients supplied by Citrus and Allied Essences Ltd. have not been tested, nor have they been determined safe, for inhalation or use in any electronic smoking devices, electronic nicotine delivery systems, electronic cigarettes, or other similar devices (collectively “E-Cigarettes”) or in any E-Liquids used with E-Cigarettes. By receiving Citrus and Allied Essences Ltd. ingredients, the recipient confirms that they will not use these ingredients in connection with the manufacture and distribution of E-Cigarettes, E-Liquids, or any component thereof. WE DISCLAIM, TO THE FULLEST EXTENT PERMITTED BY LAW, ALL WARRANTIES, EXPRESS OR IMPLIED, and disclaim all liability in connection with the use of our ingredients in connection with E-Cigarettes and E-Liquids. All such risks are assumed by you and the user.*PhoneThis field is for validation purposes and should be left unchanged.