Sparkling Contact Sheet

I'd love to keep you updated and reach out from time to time when we have something new I think you'd love. Fill out your information below to help us stay connected! (no Scentsy consultants please)

Wax Boss Honor - your personal information will be kept private and used for the sole purpose of my contact with you as your Scentsy Consultant and will never be shared or distributed with any other person or mailing lists.
Your Name
Email Address: you will receive a Free monthly newsletter with all the latest deals and specials!
example@example.com
Shipping Address (cannot be a P.O. Box)
please add Apt #, Bldg #, floor #, Ste # if applicable
Cell Phone
will text mostly
Birthday (so you can receive a Birthday Wish!)
MONTH / DAY (ex. 2/19)
How did you hear about my Sparkling Contact Form? Check all that apply

Other
Have you used Scentsy products before?
I'd like information about SCENTSY CLUB - Our Rewards PROGRAM!! Discounts & Perks!, never lose your favorite scents! & get exclusive access to items no one else can get! Free to be a member!!
What Scent Catagory(s) do you like? check all that apply.

On a scale of 0-5 How interested are you in Getting PAID on YOUR PURCHASES or earning extra money with Scentsy?

	0	1	2	3	4	5

0 is Not interested, 5 is very interested

On a scale of 0-5 How interested are you in learning how to get FREE & 1/2 price Scentsy items, by having your own online/text link Sparkling Scent Social? You Earn the rewards!!

	0	1	2	3	4	5

0 is Not interested, 5 is very interested

Do you know anyone who would Love FREE Scentsy OR earn some extra income? Drop their info and I'll send them Smell Good Mail!
Name, Address, Zip code, Cell, Email
Questions or Comments
Click on each one to Follow me on these platforms!
Thank You for filling this out! I will be sending you some Sparkling Happy Mail!!

Michelle Trotta Call/Text 772.370.0694

https://85scents.scentsy.us
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I'd love to keep you updated and reach out from time to time when we have something new I think you'd love. Fill out your information below to help us stay connected! (no Scentsy consultants please)