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Pink Zebra Samples Request
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* Indicates required question
Party Host, Event Name or how you found me?
*
Your answer
Full Name
*
Your answer
Address, City, State and Zipcode
*
Your answer
e-mail
*
for shipping invoice of your samples. Shipping of six samples are $3.00
Your answer
Phone number
*
Your answer
Birthday Month and Day
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Your answer
Preferred Contact Method
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Email
Phone
Mail
Both
Required
Paisley Pick (Scent of the Month) Sample?
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Yes
No
Which 1 or 2 Sprinkles scents would you like to try? Choose from the list below.
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Your answer
Fragrance Wishlist
My 2024 Fragrance Wishlist
I would like to receive email updates with tips, special events, host/guest specials and product sales
*
Yes
No
I'm interested in hosting a
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Facebook Party
Virtual Blend Bash
Text or Messenger Party
Party on the Go/Catalog Party
Not at this time
I'm interested in Hosting a Party in the month of:
January
February
March
April
May
June
July
August
September
October
November
December
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I'm interested in receiving info on the following:
*
Scent Flirt-a surprise subscription monthly package
Opportunity Sneak Peek Pack to Join Pink Zebra
Application for HEROES FREE Daycare
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