12 Days Of December Giveaway Form

Congratulations!!

Please answer the questions below to redeem your prize. Thank you for your support!
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email Address*
example@example.com
Giveaway you won?*
Date of the Thursday night LIVE Party from which you won?*

MonthDayYear
Date of the party when you won
Who invited you to the group?
Are you interested in more info on the following?*

Host A Post! And earn 20% - 40% in discounts, or choose a gift from my Gift BasketIndependent Consultant to save 40% and create an incomeHost to earn discounts, & receive a Gift from me!Client Testimonial/ReviewYes, I'd like to try 3 Free Samples, and I'll pay the mailing cost.No, thank you
My Naughty Toy Chest

Raquel Avisado

raquels.naughtycocktailparties@gmail.com

https://www.naughtycocktailparties.com/me/raquelavisado

(630) 808-1034
Should be Empty:

Congratulations!!