Use this dandy little form to update, change, or cancel
your Latisse autoshipping status.

Unfortunately, you cannot use this form to enroll or start autoshipping.
Instead, please place a new order and select your first autoship option directly from the ordering page - that way we can properly cycle your next shipment based on your selection. Current subscribers, if you want to upgrade to the new SUPERSIZED 5ml Latisse, please update here.  5ml Latisse can ship no earlier than 8 weeks.

* Required fields
Name *
E-mail Address *
First & Last Name *
My Address (enter #, street, town, state, zipcode) *
my phone number w/area code: *
My current size bottle (3ml or 5ml) and current Autoship Status: *
Date of my last shipment: *
Here is what I need to change: *	please ship every 4 weeks instead please ship every 6 weeks instead please ship every 8 weeks instead please ship every 10 weeks instead please ship every 12 weeks instead please skip the next shipment please skip the next two shipments please cancel all future shipments. I've moved! Please ship to my new address below** I need to change credit cards:
Please UPGRADE me to the larger 5ml size now and ship every....
My New Card Number:
expiration date mm/yy
cvv security code:
**If you've MOVED - please enter your new shipping address here. Enter house number, street, city, state and zip code. Enter your new phone number too if needed:
I have read and agree to the Privacy Policy *

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