Wellness Store + Shop Club Info Request
Honored! That’s the first thing that comes to mind knowing you’ve found me. You’re not here by accident, or coincidence, so let me share with you my joy of taking our home non toxic over the last 17 months and help you make a healthier swap as well. Be sure to fill this out completely, I will reach out to you via your preferred method of talking/ communicating after submitting the information below. You’ll get a private virtual tour of the store as we build your cart! Chat soon !!
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email (one that you actually check 😉)
Instagram handle (ex: @sameolegigi )
How did you find me?
Instagram
Facebook
TikTok
Family/Friend
Customer Referral
Help me, Help you! Click ALL that apply!
American made is important to me
I want less toxins in my home
I need supplemental income
I spend $75 or more a month on essentials ( toothpaste, detergent, cleaning, candles etc.)
All of the above
What’s the best way to contact you ?*
Text
Instagram
Whatsapp
By agreeing to this, you are agreeing to receive text messages from me!**
*
Yes! I agree to receive text messages from you!
Submit
Should be Empty: