Free Sample Survey Form - Canadians only (While Supplies Last)
 
Please fill out the following form with a current phone number and email addy to receive a skin care sample and a catalogue. Unfortunately due to the high number of requests for samples, you will be charged $1.50 for shipping and handling. If you already have a consultant, please contact her for a demo of our products. Thank you...
 
First Name*
Last Name*
Personal Email*
Home Phone*
Home Address*
Home City*
State*
Country*
Zip*
I understand I will be charged $1.50 for shipping and handling.* Yes No
Your previous experience with Mary Kay:*
Do you currently have a Mary Kay consultant that you have gotten products from in the last 6 months?* Yes No
Would you ever consider Mary Kay as a career opportunity?* Yes No
If you were to consider a Mary Kay career, what would interest you most? Extra cash to unlimited income
Earn a free car
Personal growth
New friends
Recognition
Prizes - diamonds, travel etc
Being your own boss
Flexibility
What is your skin type?* Combination Dry Normal Oily
Which products are you interested in?* Skin Care
Anti Aging Skin Care
Color Cosmetics
Body Care
Fragrances
Men's Fragrances
Which brand of skin care or products do you currently use?*
Age:* under 18
18 to 22
23 to 27
28 to 35
36 to 45
46 to 55
56 to 65
66+
Where did you hear about my offer?*

 
* Indicates field is required.