Customer Preferences Form

Customer Preferences Form

Let me know what you'd like to be notified about
Your Name

First NameLast Name
Email
example@example.com
Cell Number (for text communication)
Please enter your cell number.Format: (000) 000-0000.
Phone Number (if no cell phone)
Please enter a valid phone number.Format: (000) 000-0000.
Communication & Samples
How often do you want to be updated with Scentsy new releases & specials? SELECT ALL that you'd like.
Check the fragrance categories that you typically love - SAMPLES :)
What are some of your ALL TIME FAVORITE Scentsy fragrances that are gone/discontinued? If these come back, I will notify you.
Check any that you haven't tried before, but would like to. - SAMPLES/DISCOUNTS
Discounts
What Scentsy discounts would you like?
What is your Birth Month?
On a scale from 0-5, how interested are you if I have a ZERO COST starter kit available?

0

1

2

3

4

5

0 is No , thank you, 5 is Yes, absolutely!
Characters, Movies, Brands

What Licensed Products do you like?
Scentsy partners with BIG names. Please check ANY that catch your interest so I can notify you of any NEW, returning or discount deals!
Is there a character, movie, brand or licensed product that you ABSOLUTELY LOVE that is not listed above?
Should be Empty:

Communication & Samples