Beautycounter Sample Request Form

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*** Important ***
In order for me to send you samples, I need you to take our SKIN CARE QUIZ first so we are sure I am sending you samples that are best suited for YOUR SKIN! After taking the quiz you will also receive a special offer that you won't want to miss out on!
Click on the link directly below and answer which line is recommended for you!
xoxo,
Paulina

https://www.beautycounter.com/paulinacolton?goto=/quiz/skincare

Email *

Name *

Address *

Phone Number *

What are you most interested in switching? *

Skincare

Cosmetics

Body/Hair

Kids/Baby

Sunscreen

Other:

After you've taken the skin care quiz (link in description), which regimen did it recommend for you? *

CounterTIME (gracefully aging line)

CounterMATCH (advanced hydration & age prevention)

CounterCONTROL (oily/blemish prone skin)

CounterMAN (men's skin care line)

What other "add ons" are you interested in trying?

Overnight Resurfacing Peel

Charcoal Facial Mask

Charcoal Cleansing Bar

Counter+ All Bright C Serum

Countersun Mineral Sunscreen Lotion SPF 30

Counter+ Cleansing Balm

Counterstart Cococream Cleanser

Countercontrol Clear Pore Cleanser

Skin Twin Featherweight Foundation

Skin Twin Creamy Concealer

Clear selection

Which best describes you? *

I am new to Beautycounter!

I shop Beautycounter through Paulina Colton.

I shop through another Beautycounter consultant.

Send me a copy of my responses.

Submit

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