ALIGN Interest Survey

At ALIGN we are passionate about connecting really good people and really good products! Fill out this quick and gain access to our community events, special discounts and rewards! First, tell me a little bit about yourself and your skin!
First Name
Use Your Preferred Name
Last Name

Which best describes you as a customer?

I could use help creating a skincare routine.I prefer simple- cleanser & moisturizerI love to buy and try all the new things that I canI am willing to add new things to my skincare routine after I learn about their effectiveness
Birthday (Month & Day ONLY)

MonthDayYear
Date
At ALIGN we are inspired by the Elements and aim to empower you! What's your Element Sign?

I'm a Earth Sign (Taurus, Virgo, Capricorn)I'm an Air Sign (Gemini, Libra, Aquarius)I'm a Fire Sign (Aries, Leo, Sagittarius)I'm a Water Sign (Cancer, Scorpio, Pisces)

What is your preferred way to be contacted? (please know I would never spam or expect anything from you)

TextEmailMessengerPhone call
What email should I use to send you special pricing and skincare tips?
example@example.com
Last question, what number can I text you at when we have sales or freebies?
Should be Empty:

At ALIGN we are passionate about connecting really good people and really good products! Fill out this quick and gain access to our community events, special discounts and rewards! First, tell me a little bit about yourself and your skin!