Let Me Help you Build Your Planner!
If you have any questions please PM me, email me at
moxiedoxiedesigns@gmail.com
, text me at (757) 279-8205!
* Required
First & Last Name
*
Your answer
Email
*
Your answer
Full Mailing Address
*
Your answer
Phone number
Your answer
How did you hear about Tula Xii & Plan with Holly?
*
Your answer
Birthday (Join My Birthday Club get a gift during your birthday month)
MM
/
DD
/
YYYY
Preferred Contact Method
Email
Phone
Snail Mail
Text
Facebook
Best Time to Contact You?
Morning
Afternoon
Evening
Clear selection
What is your current planner missing?
Your answer
What type of planner do you need?
Business
Personal
Both
Other:
Clear selection
What size planner do you want?
Small (4 x 5.75) - more of a wallet size
Medium (5 x 7)
XL (7 x 9.75) - keep in mind, the more you stuff this one can get heavy for carrying
Clear selection
What is your lifestyle? (Check as many as you like)
Personal & Family
Small Business
Good & Meal Plan
Student & Teacher
Direct Sales
Health/Wellness/Fitness
Travel & Vacation
Home
Financial
Goals
Medical
Journal
Faith
Other:
Do you have your eyes on any accessories?
Yes, I know what I want
No, please recommend functional
Show me all the things that match what I am getting!
Clear selection
I want more information on...(Check all that apply)
Hosting a Facebook Virtual Show
Hosting a Live Planning Event
Fundraiser
Product Information
Becoming a Brand Ambassador
Other:
May I add you to my VIP group on Facebook?
*
Yes, PLEASE!!! I love specials, sales, and free classes!
I'm already in the group!
Not at this time
New Brand Ambassadors are making $145+ at every show. If you did 2 one hour shows a week, you would earn an extra $1150 each month! What would YOU do with an extra $1150 every month?
Your answer
Any other questions or comments?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Forms