The Fragrant Butterfly Information Request

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Add your number if you would like me to text you the details, or if you want to join my Secret Garden VIP texts. You can opt out anytime.Format: (000) 000-0000.

How would you like me to reach out?

Birthday MM/DD (No Year Needed)

Fill out if you want to be part of my Birthday Club

Only fill this out if you are requesting a Fragrant Flight Pack or joining the Birthday Club.

Street Address

Street Address Line 2

CityState

Zip Code

I would love the Monthly Fragrant Flight Pack (Happy Smell Mail)

I am excited about the following Scentsy products

I am interested in a Scent-Sational get together (Smell some scents)

I want to join the Secret Garden VIP group (Click all that apply)

I am interested in the following party ideas and saving money (Select all that apply)

I am interested becoming a Butterfly Effect Affiliate

What I love about the Whiff Box (Select all that apply)

What I love about the Scentsy Club (Select all that apply)

If I ever become a consultant, I would love (Select all that apply)

My favorite scents categories are (Select all that apply)

Anything else you would like The Fragrant Butterfly to know?