Receive a 10% Discount on Your Next Order...
 
Please take a few minutes to let me know how I can serve you better. As my thank you, enter Client Survey Discount "CE100" in the comment section, to receive a 10% discount, when you place your next order .
 
Name:
Home Phone
Personal Email
How often would you like to be contacted? Monthly
Every Other Month
Quarterly
New Product Introductions
What type of events would you be interested in attending? Career Info Breakfasts
Career Info Coffees
Makeover Events
Spring or Christmas Open House
Dinner and a Makeover
Hosting a Skin Care Class
Would you consider spending 30 minutes with me to hear about Mary Kay's career opportunity. You could be my talent scout and earn $100 in free products when you refer someone who becomes qualified consultant on my team.
Absolutely, I'd love to hear more...
Actually, I've been thinking about becoming a consultant myself.
I know someone who might be interested.
I'd like to earn more money but I'm not sure if I could do it.
I'd like to get my products at wholesale prices.
I'd prefer to be a customer and pay retail
No, thank you...
I'd rather eat a bug!!!
Which categories interest you the most? Skin Care
Age Fighting Skin Care
Makeup and Color Products
Makeup Application
Mineral Based Powders
Body Care
Women's Fragrances
Men's Fragrances
Men's Skin Care
How would you rate our service to you as a customer?
1 = Poor, 2 = Fair, 3 = Average, 4 = Good, 5 = Excellent
1 2 3 4 5
Any additional comments or questions:
I am happy with your service and would like to refer you to my friends Yes No
Friend #1 Name, email and phone number
Friend #2 Name, email and phone number
Friend #3 Name, email and phone number
Friend #4 Name, email and phone number
Friend #5 Name, email and phone number

 
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