Jinelle Pearl's Scentsy Samples Form

TELL ME ABOUT YOU...

In order for me to best serve you as your Scentsy Consultant I need to know a little bit more about your preferences! By filling out this form I will be able to give you a more personalized shopping experience. ALL COMPLETED FORMS WILL BE ENTERED INTO A GIVEAWAY!
Name

First NameLast Name
Address - so I can send you mail that smells AMAZING

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (text)
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Have you used Scentsy products before?
What types of fragrances do you like? (select all that apply)

Other
What products are you interested in trying/ordering? (select all that apply)
Are there any products/fragrances you'd love a sample of?
Which licensed products do you LOVE? (select all that apply - so I can keep you informed about product releases)
Is there anything in specific you are OBSESSED with? Something you would NEED if Scentsy came out with a product for that move/character/brand. Ex: Disney parks, Spiderman, Encanto, R2D2, etc.
Are they any specific products/collections/sales you would want to be contacted about for releases? Ex: wax collections, scentsy buddy releases, summer collection, Harvest (Fall) collection, Christmas products, etc.
Are there any discontinued scents that you LOVE? Share them below so I can contact you if they ever come back!
You can get a discount on your products by hosting a party - 1 to 5 how interested are you?

1 STAR - not interested 5 STARS - very interested
Life-changing means something different to everyone - if you could benefit from extra income to help with bills, savings, debt, or just to treat yourself I would LOVE to share the opportunity with you. Would you be interested in becoming a consultant for extra income, to make friends, discount on products, or to travel?

1 STAR - not interested 5 STARS - very interested
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TELL ME ABOUT YOU...