Thank you for Requesting Norwex Samples!

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Welcome to the Toss the Toxins Workshop

I am thrilled to share with ways to toss the toxins in your home. We will also educate on ingredients in your personal care products and cleaning supplies.

To better serve you at our Toss the Toxins workshop, please fill out this form and I will drop your sample in the mail. Please note I have a limited amount of samples and will be mailing them out on a first come, first serve basis.

Your Norwex Consultant,

Debbie

Debbie Burget
Independent Consultant

(910) 725-5230

www.norwex.com/debbieburget

Email *

Request Samples

First & Last Name (also include your Facebook name if it is different) *

FULL Shipping Address (CITY, STATE & ZIP too) *

Cell Phone *

Please list the host that invited you to this event. *

Norwex Status *

I'm brand new to ALL Norwex (I have never tried any of it)

I have some Norwex for cleaning supplies (like our microfiber)

I have some Norwex Skincare

I have it all - I don't need any samples

Are you committed to trying your samples in your home and providing feedback about them to me? *

Yes, I can't wait to try cleaning with just water!

Yes, but I'm skeptical!

Yes, and I may even pass my samples onto someone else to try after I'm done!

What challenges do you have in your home? (You may choose multiple): *

People in my home suffer from environmental allergies. (dust/pollen)

Chemicals I use to clean around my family and pets.

I'm noticing fine lines and wrinkles.

Streaky windows & smudges on my stainless steel.

I have a hard time keeping my floors clean.

Required

Do you have a friend or two that would like to join this event WITH YOU so you can both get free samples!
*

Yes I have at least 1

Maybe - Let me ask around

No thank you - I want to try it myself first.

Required

Join my Customer Group

WANT A GIVEAWAY ENTRY BEFORE THE PARTY EVEN STARTS? Join my VIP Group! https://www.facebook.com/groups/725283358254146
*

I will join right away: https://www.facebook.com/groups/725283358254146

Send me a Facebook message so I have the link to join

I will join after the party ends.

No thanks you

CLEANING SAMPLES: TAKE A BEFORE PHOTO

Have a dirty mirror, sink, stainless steel, microwave, smudges on your light switches? Take a pic before you clean and after - Get extra entries into our giveaway for posting your before and after photo!
*

Yes I will take pics before/after

I will take a photo but I dont want to share

I don't want to take photos

Referral and Event Perks/Rewards!