Request edit access
Sample Club Contact Information
Sign up below to receive my beauty, or skincare sample! No purchase necessary to receive samples. 🤩

It does take me a few days to package and distribute the samples, but I'll send you a confirmation email when I mail your samples, so you know when to expect them. 😃

Thank you so much for joining my Sample Club!
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Do you currently have a Mary Kay Consultant, other than me? *
If you currently have another consultant, please ask her for samples. I don’t want to tempt you away from someone with whom you’re currently working. 🥰
If no, would you like me to register you as a Preferred Customer? You’ll receive a FREE gift 🎁 on your birthday 🎂 and a month-long b-day discount! 🎈🎊 *
E-mail
Birthday (year isn’t needed)
Address *
Phone Number to Text, or Call
What is your biggest skincare concern?
What shade of foundation best fits you?
Clear selection
What color eyeliner do you prefer?
Clear selection
What color lipstick/lip gloss do you prefer?
Clear selection
Are you interested in any of the following:
Want to earn free shopping credits? Here are ways to earn FREE products…
What type of party would you be interested in joining or hosting?
If you'd like to join my VIP Group to receive informational tips, motivational posts and to be apprised of sales and specials, join at: https://www.facebook.com/groups/skincareclinicmarcandshannon/members/
To see all the ways to contact me, and to find out how to get some FREE items, go to www.linktr.ee/shannonf
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms