Request edit access
Stacy's Loyalty Program -
There are TWO WAYS to earn rewards for shopping with me (these may be combined with any other sales special BC HQ or I offer):
1. For each new customer referral you provide (after their first purchase) I will send you a $10 Beautycounter gift card!
2. When you have made 5 purchases with me (total paid after discounts and before tax must be over $35) I will send you free product - based on your purchase history and what I think you may like. If you have a particular request e-mail me to let me know.

You may complete the form more than once - I encourage you to do so! Respond as many times as you'd like for either of the below options- referrals or purchases.

Thank you for being a part of my Healthy Inside & Out community - we'd love to have you join our Facebook group if you haven't already ( ). Also, don't forget to stay up to date on announcements, sales & info on safer skincare by adding and to your e-mail "safe" list.

Email address *
Please enter the name(s) and e-mail(s) of the individual(s) you'd like to receive a welcome & information e-mail about Safer Skincare & Cleaner Cosmetics. You'll get $10 in BC Bucks if your referal makes a purchase!
Your answer
Please enter the order numbers of your 5 purchases over $35 to get your free gift from me!
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms