Sample Request Form

Color Street Sample Request Form

Miss Tieah's Tips-n-Toes
100% Nail polish strips, made in the USA with globally patented technology. These strips are 95% dry meaning no more smudging and smearing your freshly painted nails. Base, color, and top coat all in one strip with the bonus of no drying time. Try before you buy just by filling out the short form below. I'll get your sample and some other goodies in the mail right away!
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Are you joining from a party? If yes, who is your hostess?
Hostess Name
I would like more information on:

Hosting an online partyBecoming a StylistLearning more about CS makeupNothing at this timeCheck back with me at a later time
Have you joined my VIP group on Facebook?

Yes, I'm already in the groupPlease send me an inviteNot at this time
Thank you for requesting a sample! I know you'll fall in love with this product! Don't forget to post your nailfie on your Facebook page and Tag me! Also, if you're in my VIP group, please share it there as well. If you love this product, be sure to share it with your friends! We can't leave them in the dark about this amazing nail polish!
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Color Street Sample Request Form