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Name:
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First
Last
Address
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Country / Region
Email:
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Referred By:
Did someone refer you? Please put their name so they can receive credit. Thank You!
Tell Me About Yourself:
Occasionally I will send you fun packages in the mail. Please tell me about yourself so that I know what types of samples & information to send to you.
Current Consultant:
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Yes
No
Non-Consultants ONLY please. Former Consultants are okay! THANK YOU.
Scentsy Products I HAVE NOT Used:
*
Scentsy Go (battery operated system)
Warmers
Wax Bars
Essential Oils & Diffusers
Travel Scents (room spray, scent circles, travel tins)
Scentsy Laundry
Scentsy Cleaning Products
Scentsy Kids (plush animals, bath products, kid-friendly scents)
Scentsy Body
Select all that apply.
Favorite Types of Scents:
*
Citrus (mandarin, bergamot, lime, grapefruit, lemon)
Floral (rose, muguet, jasmine, mimosa, gardenia)
Fruity (peach, raspberry, melon, apple, strawberry)
Bakery (vanilla, caramel, cocoa, brown sugar, butter)
Green (basil, spearmint, triplal, peppermint, thyme)
Woody (sandlewood, patchouli, fir balsam, cedarwood, olibanum)
Spicy ( pepper, clove, nutmeg, cinnamon)
Fresh (clean, airy, fresh laundry)
Select all that apply.
Interested in Selling Scentsy:
*
 
Not Interested
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Very Interested
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