Free Lipstick Form

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First Name *

Last Name *

Cell Phone # *

Email Address *

Occupation *

Your consultant or person who sent you to this site *

Which Videos did you watch? *

What about the video/hotline impressed you the most? *

Based on what you heard, what would you love most about MK? *

On a scale of 1 to 10, 1 meaning I would rather eat dirt than do something like MK and 10 meaning I am nervous but would LOVE information on getting started (and please do NOT say 5), what number would you pick? *

If you were ever in your wildest dreams to start a MK business, what would be the ONE QUESTION you would have to have answered for you? *

Your consultant is winning a beautiful pearl jewelry set & we appreciate your time! So that your opinion counts for her challenge, when is best time to chat? Daytimes, Evenings or Weekends? *

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Please complete the survey below!We will have a gift for you!

Please complete the survey below!
We will have a gift for you!