WP E-Signature by Approve Me - Sign Documents Using WordPress -

ORDER PICKUP CONFIRMATION

I, , agree to electronic records and e-signature. My signature acknowledges that I have picked up the following items from my CHIOMA order.

Date items were pickup:

Who will be picking up this order?

I will be picking up my order personally.

A third party (friend, family, or courier) will be picking up on my behalf.

Full Name of person picking up order:

I agree to the following:

I confirm that all the items purchased on the date listed above has been received by me today in full and I have inspected all products prior to purchase and satisfied with each item.

I agree that I have read and agree to CHIOMA Co.’s Terms & Conditions. I understand that ANY and ALL purchases made online or in-store are subject to CHIOMA Co.’s policies, including billing authorization, order processing, and store rules. Read FULL terms at www.chioma.co/terms

I agree and understand that single herbs, blends, sea moss gels, beauty and body care products, and all final sale items are non-refundable. All returnable items must be received by CHIOMA at the designated address within 30 days unopened, unused, in original packaging, and in resalable condition ONLY subject to a 20% restocking fee. There are NO refunds on shipping fees, service charges or processing fees.

I agree and understand that all services, service holds, deposits, gift cards, packages, and service series are non-refundable once purchased. No refunds are issued for completed services. Read FULL service policy at www.chioma.co/service-policies

I agree and understand that gift card purchases are non-refundable and cannot be exchanged for cash

I agree and understand that CHIOMA Co.’s herbal and wellness products are natural supplements and are not intended to diagnose, treat, cure, or prevent any disease. Results may vary and are not guaranteed. If pregnant, nursing, taking medication, under 18, or having a medical condition, I will consult my healthcare provider before use. I assume full responsibility for my use of CHIOMA Co. products. CHIOMA Co. is not responsible for adverse reactions, allergies, or misuse of any product.

I agree and understand that ANY and ALL statements made by CHIOMA regarding the products have not been evaluated by the Food and Drug Administration (FDA)

I agree and understand that ALL PRODUCTS ARE SOLD "AS IS" AND WITHOUT ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING BUT NOT LIMITED TO, WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Signed by The Bello Group Inc
Signed On: February 20, 2026

Timestamp

Audit

December 16, 2025 2:14 pm CST

ORDER PICKUP CONFIRMATION Uploaded by The Bello Group Inc - chiomafarmersbranch@gmail.com IP 97.134.207.202

December 16, 2025 2:29 pm CST

Ebele Chioma - ebele.okocha@gmail.com added by CHIOMA Co. Concierge - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 72.110.53.134

December 16, 2025 3:33 pm CST

Ebele Chioma - ebele.okocha@gmail.com added by CHIOMA Co. Concierge - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 72.110.53.134

December 17, 2025 1:50 pm CST

Ebele Chioma - ebele.okocha@gmail.com added by CHIOMA Co. Concierge - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.176.163.85

December 19, 2025 10:46 am CST

Ebele Chioma - ebele.okocha@gmail.com added by CHIOMA Co. Concierge - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 72.110.53.134

December 19, 2025 10:46 am CST

CHIOMA Farmers Branch - chiomafarmersbranch@gmail.com added by CHIOMA Co. Concierge - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 72.110.53.134

February 16, 2026 9:06 am CST

Ebele Chioma - ebele.okocha@gmail.com added by The Bello Group Inc - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.134.209.83

February 16, 2026 9:06 am CST

CHIOMA Farmers Branch - chiomafarmersbranch@gmail.com added by The Bello Group Inc - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.134.209.83

February 16, 2026 9:07 am CST

Ebele Chioma - ebele.okocha@gmail.com added by The Bello Group Inc - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.134.209.83

February 16, 2026 9:07 am CST

CHIOMA Farmers Branch - chiomafarmersbranch@gmail.com added by The Bello Group Inc - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.134.209.83

February 20, 2026 2:27 pm CST

Ebele Chioma - ebele.okocha@gmail.com added by The Bello Group Inc - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.134.207.202

February 20, 2026 2:27 pm CST

CHIOMA Farmers Branch - chiomafarmersbranch@gmail.com added by The Bello Group Inc - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.134.207.202

February 20, 2026 2:29 pm CST

Ebele Chioma - ebele.okocha@gmail.com added by The Bello Group Inc - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.134.207.202

February 20, 2026 2:29 pm CST

CHIOMA Farmers Branch - chiomafarmersbranch@gmail.com added by The Bello Group Inc - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.134.207.202

February 20, 2026 2:30 pm CST

Ebele Chioma - ebele.okocha@gmail.com added by The Bello Group Inc - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.134.207.202

February 20, 2026 2:30 pm CST

CHIOMA Farmers Branch - chiomafarmersbranch@gmail.com added by The Bello Group Inc - chiomafarmersbranch@gmail.com as a CC'd Recipient Ip: 97.134.207.202