Beautycounter Free Samples Request
GET THE SAMPLES YOU NEED: Fill out the form below so I send the best samples for you.

FREE TRAVEL SKINCARE SET! Reminder: I'll send a free travel skincare set when you place an order here over $125: (*Forward your email receipt to: Here's my name if it asks for the consultant: Kelly Moeggenborg. Total needs to be $125 before shipping, tax, Band of Beauty membership, or product credit.) Sorry, USA only because foreign shipping is $$$!

FYI: If you ever decide to join my team as a consultant (it's fun teaching others about safer beauty and skincare, plus you get big discounts and earn good money too!), email me first: so I can help you choose the most useful items to start with for your business.
Full name *
Your answer
Email address (this also gives me permission to email you about Beautycounter sales, etc.) *
Your answer
Full address where I can send the samples *
Your answer
What are your skincare needs/concerns so I can send you the best samples if available? (Choose as many as apply) *
Are you a new customer or existing customer? *
How did you find me? *
Your answer
Are you already a Band of Beauty member? (Free products, credits with each purchase, free shipping) *
Would you also like to be added to my Kitchen Kop newsletter? (I'm more personal with my "krew", plus get free resources like a grocery store cheat sheet, health info, recipes, parenting, etc.) *
Would you like to chat about being a consultant so you can teach others about safer skincare and earn a side income too? *
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