Name
*
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Birthday (Month & Day)- Surprise! I love to celebrate!
*
Take Photo
I am here to:
*
Complete my customer profile
Get a New catalog
Get on my contact list for future releases/events
Referred to you by a friend!
Other
Join my Facebook Group page
Do you purchase Scentsy more than once in a 90-day period?
Yes, I sure do!
Would you like a personal shopping link set up on my website for you to use for up to 90 days? You can close it when rewards have been reached! You get free & half price items - just from shopping!
*
Yes, please!
Tell me more!
No thank you.
Are you a local resident? (Jackson & surrounding areas)
*
Yes, I sure am!
No, I live to far to come over or attend events.
Great! You're a Local- which means there are PERKS! Check any that interest you!
Text notification about craft fairs/events that I am set up at
Sip and Sniff
At home parties
What date is your FIRST choice for your scent event? (I'll check my calendar & get back with you!)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What date is your SECOND choice for your scent event? (I'll check my calendar & get back with you!)
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Let's PAARRTTTY! Who is the host of the party you're attending?
First Name
Last Name
If "other" is checked, please specify:
Awesome! I can't wait to be your Scentsy Lady! Who referred you?
First Name
Last Name
Please check ANY that catch your interest! I will notify you with any NEW, Returning or Discount Deals!
*
Disney
Star Wars & The Mandalorian
Marvel
DC Comics
Harry Potter & Wizarding World
Justice League
Scooby Doo
Looney Tunes
Limited Edition Wax Collections
NFL
NHL
None
Flash Sales
Which Disney ones do you love MOST & want me to notify you about?
Disney Anything! I'm OBSESSED!
Disney Princess
Lion King
Lady and the Tramp
Lilo & Stitch
Hocus Pocus
Mickey Mouse & Minnie Mouse
Dumbo
Moana
Little Mermaid
Winnie the Pooh & Friends
Wall-E
Alice in Wonderland
Nightmare Before Christmas
The Muppets
Aladdin
Which Marvel characters/movies are you interested in & want to be notified about?
Spider-Man
Thor
Groot
Rocket
Captain America
Other
Which other Marvel characters/movies would you like to me to tell you about?
Is there a character/movie/brand or licensed product that you LOVE that is not listed above? If Scentsy came out with products for it...I can notify you! For example, Jurassic Park, the Grinch, E.T. Harley Davidson, etc.
Check any that you haven't tried before, but would like to!
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Wax Free Products
Diffuser & Essential Oils
Laundry Products
Body/Bath Products
Cleaning Products
Pet Stuff!
Car/Truck Fragrance
Whiff Box-Monthly Full Size & Sample Box
Products perfect for Travel!
Wax/Warmer
I'd love to try some of these wax-free products:
Diffuser/Oil
Wall Fan Diffuser/Pod
Fragrance Flower
Air Purifier
Scentsy Go/Pod
Mini Fan Diffuser/Pod
Scentsy Fresh (fabric spray)
Room Spray
Bedding Fragrance (washer whiffs)
Travel Twist
Enhance your state of mind with oils in our diffuser. Decide your vibe! Are you interested in any of these?
Comforting (warm & familiar, like a much-needed hug)
Uplifting (brighten up & put a spring in your step)
Balancing (find your center & feel rejuvenated)
Calming (exhale & take some well-deserved downtime)
Which cleaning products would you like to try?
All Purpose Cleaner (most household surfaces & floors)
Dish Soap
Counter Clean (Magic in a Bottle! Ask me what else this is great for!)
Bathroom Cleaner (Soap Scum eraser!)
Which Laundry products would you like a sample of?
Laundry Detergent (HE compatible)
Fabric Softener (Scent Soft)
Dryer Disks
Washer Whiffs (scented crystals for washing machine)
Fabric Spray (pillows, bedding, curtains, sofa, etc)
Which Body/Bath Products would you like a sample of?
Body Wash
Body Cream
Body Spray
Sugar Scrub
Scentsy Soak (Bath or Foot)
Hand Soap
Hand Cream
Do you wash your dog at home?
Yes, I sure do! I'd love a sample of the dog shampoo!
No, I take them to the groomer.
Is your dog long-haired?
Yes, help! I'd love a sample of the dog detangler spray!
No thank you.
Travel Friendly products that I'd like to try!
Scentsy Go (cordless, portable, rechargeable)
Wall Fan Diffuser/Pod
Mini Fan Diffuser/Pod
Room Spray
Scent Circle for toilet paper holder
Car Bar for rental car
Travel Twist for luggage/small space
Scent pak for luggage
I'd love to try the following for my car/truck:
Scent Circle (hangs on rear view mirror)
Car Bar (hangs on rear view mirror)
Mini Fan Diffuser/pod (plugs into a USB)
Travel Twist
Scent Pak
Car Bar (Air Vent) clips
My dog definitely needs a "freshen up" spritz in between baths!
Yes, please! I would love a sample of the freshen up pup dog deodorizing spray!
No thank you.
Check the fragrance categories that you typically love:
*
Fresh, Clean
Fruity
Citrus
Men's Cologne/Woods
Spice
Floral
Bakery
Fall
Christmas
Ok, what is your #1 MOST FAVORITE pick from above?
Please Select
Fresh, Clean
Fruity
Citrus
Men's Cologne/Woods
Spice
Floral
Bakery
Fall
Christmas
What are some of your ALL TIME FAVORITE SCENTS that are gone? If these come back or I can get some bars...I will notify you!
Want to be friends on socials? What's your handle/Name/or URL?
Any of these Catch Your Interest?
a personal shopping link - good for 90 days. When rewards are reached, you unlock free and half price items!
Fundraising Options (100% commission donated & I do all the work!)
Seasonal Coworker/Teacher Gifts
Client/Customer Appreciation Gifts
Closing/Listing Gifts/Popby Gifts/ Corporate Gift Giving
None of the above
REFER A FRIEND! I'll spoil them with a sample pack! You BOTH get a FREE bar with their 1st purchase!
Yes, please spoil my friend with smell good mail!
What's your friend's name?
What's your friend's address?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What's your friend's cell phone #?
Please enter a valid phone number.
Format: (000) 000-0000.
What's your friend's email address? (for package tracking)
example@example.com
Submit
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