Online Wellness Store Information Request
You’re probably wondering why this is a form instead of just a website? Well, The Wellness Store is a lot like COSCTO or SAMS! You have to be a member, referred by a member, to access all of the amazing products and benefits. It is a store with ingredients that have no harmful chemicals, Amazon speed delivery, & WalMart/Aldi prices. It has been a God-send to our family and we are hooked! I’d love to connect with you and send you more info, so please fill out this form and I’ll be in touch ASAP!
Name
*
First Name
Last Name
E-mail
*
example@example.com
Contact Number
*
Format: (000) 000-0000.
Instagram Handle
Ex: @__lexirmartinez
Help me, help you!
*
American made is important to me
I want less toxins in my home
I need supplemental income
I spend $75+ monthly on home essentials
What is the best way for me to contact you?
*
Phone Call
Text
Instagram
Other
Submit
Should be Empty: