MeL's Magic Manis - Accent Nail Request Form
Please fill out the quick form below to receive your FREE accent nail in the mail! No worries! We will NEVER EVER sell or trade your information! Thanks for supporting my family business! We can't wait to introduce you to this amazing product! XOXO -MeL
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Have you ever tried dry nail polish before?
*
Yes!
Not yet!
How did you find us?
*
A friend who currently shops with you! (We offer Referral Rewards! - Please let us know your friends’ name on the next question!)
A friend who is hosting a party with you! (Please fill in your hostesses name on the next question!)
I found you at an in person event!
I found you online via Facebook!
I found you online via Instagram!
I found you online via Google Search!
Other
If you were referred to us by a friend or a nail bar hostess, what is her name so we ensure she gets credit for her referral?! If you found us at an event, which event?
How else may I help you? (Please check ALL that apply!)
*
Please include details on your customer loyalty and referral program!
Please include a current catalog with my sample and add me to your mailing list!
Please include details on hosting a nail bar to earn FREE product!
Please include details on fundraising or have you at my event!
Please include details on how I can partner with you in business!
I am interested in a Collaboration!
At this time, I'd just like to try an accent nail! Thanks!
Anything else I can do? Comments, questions and suggestions are always welcomed and appreciated! Thank you SO much for your time and supporting my family business!
Submit
Should be Empty: