Provide your name, address, and purchase information so Stefani and Dorothy can send you free samples of revolutionary skincare!
Purchase information: which items did you purchase?
Purchase information: how much was your purchase before shipping and tax? (Don't forget - if your total was more than $150 we'll also send you a free charcoal bar!)
Which free sample pack would you like?
Countertime regimen (Focused on anti-aging, great for 'normal' skin types)
Countermatch regimen (Focused on dry & sensitive skin, supports anti-aging with anti-oxidants)
Countercontrol regimen (Focused on oil skin)
Comments - If you want to let us know anything about your needs, please do! We'll try to help you find products that fit right for YOU!
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