Pampered Chef Giveaway Prize Slip

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for taking the time to fill this out!

NEW Fall Products!!

NEW Fall Pantry!

NEW kit Special for Fall!! Check out those prices!

First and Last Name *

Email *

Cell Number *

Address to send a prize if you're the winner! *

Your Party Host's Name (This is the person that invited you to the party) :) *

Want to know when your wishlist items are on sale? Tell me what to watch out for below!
*

Would you like to be added to my bi-monthly Friends & Family Sale Club, where you can get 25% off your entire order?
*

Absolutely! I love saving on Pampered Chef!

Nope

Would you like to gift your friend a 40% off item by booking your own virtual party OR fundraiser? You can choose a regular party where you'll receive host rewards, a "shared rewards" party, where in lieu of host benefits, everyone in the party gets a discount of up to 25%, or a fundraiser where I donate all commissions to your organization!
*

I'd like to host an online party to earn free & discounted products.

I'd like to host an online party as a fundraiser for a charity or organization.

I'd like to host a "Shared Rewards" party. (The host doesn't earn free products but the host and all guests earn the same discount, up to 25% off, on their purchase.

No thank you

Required

Are you interested in earning extra income and free products by doing online parties like this one? Check out the new consultant kits - PICK the one that suits you best! What a deal! Try for 30 days and if it doesn't work, Take your kit and WALK!! *

I'm interested in more information. I would love to talk to you.

Check with me in a month or two.

No thank you.

Check out what you could earn if you decide to Join this month!

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

Forms