Full Name *

First Name

Last Name

Skintype

Oily

Dry

Combo

Normal

Sensitive

Skin Concerns

Acne

Pigmentation

Dry/dehydrated

Ageing

Rosacea

Reactive Skin

Congestion

Dull Skin

Texture

Lira Clinical order

What Lira Clinical products would you like to add to your order?

PRO Anti-Aging Pads (119.00)

PRO Brightening Masque ($115.00)

PRO Brite-Plus Serum ($139.00)

PRO C4 Retinol Serum ($174.00)

PRO Exfoliating Cleanser ($89.00)

PRO Firming Serum ($179.00)

PRO Lite Serum ($129.00)

PRO Lux Lash with PSC ($159.00)

PRO Retinal-Plus Treatment ($320.00)

PRO Retinol Creme ($189.00)

MYSTIQ Illuminating Beauty Oil ($149.00)

MYSTIQ Illuminating Cleanser ($89.00)

MYSTIQ Illuminating Polisher ($95.00)

MYSTIQ Infused C ($359.00)

MYSTIQ Intense C15 Booster ($189.00)

MYSTIQ Lifting Masque ($95.00)

MYSTIQ Perfecting Eye Creme ($139.00)

BIO Cavier Creme ($179.00)

BIO Enzyme Cleanser ($89.00)

BIO Hydra C Serum ($159.00)

BIO Hydra Infusion ($125.00)

BIO Hydrating Mineral Masque ($99.00)

BIO Hydrating Mineral Mist ($59.00)

BIO Lift Creme ($179.00)

BIO Lip Factor ($50.00)

ICE Balancing Lotion ($92.50)

ICE Clarifying Treatment ($92.50)

ICE Clear Stick ($62.50)

ICE Refining Masque ($92.50)

ICE Sal Cleanser ($92.50)

SPF Elio Drops 30+ Glow ($125.00)

SPF Elio Drops 30+ Sheer ($125.00)

SPF Solar Shield 30+ Classic Tint ($90.00)

SPF Solar Shield 30+ Oil Free ($90.00)

SPF Solar Shield 30+ Hydrating ($90.00)

Health Recovery Balm ($98.00)

Shipping *

In Store Pickup

Standard shipping - $5.20

Courier - $8.00