Sample Request Form

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Request Mary Kay Product Samples

Inspiring women like YOU to feel more beautiful and confident using a routine that fits your personal lifestyle and budget.

Recognizing your God-given gifts & talents and putting them to use in mid-life through faith and good works.

Enjoying the fruits of your labor with travel, outdoor activities, hobbies, home life, relaxation, and family.

One of my favorite things about being a Mary Kay Beauty Consultant is sharing sample products! I keep LOTS of samples on hand, so I can usually send out your request the same day or the next day.

Sample requests are always completely FREE with no obligation to buy and no strings attached.

All you need to do is complete the Sample Request Form below and the request will be sent to my email. I’ll fill your request and send out a Pretty Pink Package of goodies for you to try. I’ll follow up with you in a week or two to answer any questions you may have about the product samples.

Sample Request Form

The product samples you are requesting are by Mary Kay Cosmetics. As part of my Mary Kay agreement, I want to be sure you are not currently working with another Mary Kay Independent Beauty Consultant. If you are, please reach out to her for the sample request, as I am careful not to take another Consultant's customer. Please choose the answer that best describes your current status.

Yes, I already have a Mary Kay consultant. I had a Mary Kay consultant in the past, but not currently. No, I do not have a Mary Kay consultant.

Name

Street Address

City

State

ZIP Code

Cell Phone (text)

Skin Type (check one)

Normal/Dry Combination/Oily

Are you currently on a skincare regimen?

Yes No

If yes, what is the brand?

Which foundation shade category do you currently use?

Light Ivory Medium Ivory Dark Ivory Light Beige Medium Beige Dark Beige Light Bronze Medium Bronze Dark Bronze

Do you prefer Matte or Shimmer Eyeshadows?

Matte Shimmer Combination of Matte and Shimmer No preference

Eyeshadow shade preferences

Mauves/plums Browns/tans/rusty Smoky grays/blacks

Do you prefer glossy or matte lipstick?

Glossy Matte Glossy and matte No preference

Lip color preferences

Mauves Nudes Red Orange/Peach

Product Sample Request - Check the products you'd like to try and I'll put together a Pretty Pink Package of products based on your answers.

Eyeshadow Blush Lipstick Lip gloss Skincare (day/night moisturizer) Eye cream Charcoal mask Gel mask

Other product request

Are you interested in additional consultant services?

Request a private skincare/cosmetic consultation via phone/virtual/in-person Host a Mary Kay party to earn FREE/discounted products Interested in becoming a Mary Kay Independent Beauty Consultant

Beautiful, Confident You VIP Facebook Group

If you aren’t currently working with a Mary Kay Independent Beauty Consultant, I invite you to join me in my VIP Facebook Group – Beautiful, Confident YOU!

Need a reason to join us in the VIP Facebook group? How about several!

get mid-life anti-aging skin care tips
find new mid-life makeup looks
be the first to see new products
FREE SAMPLES!
SALES & DISCOUNTS!

I created this group for inspiring, empowering, and educating women like YOU to feel beautiful and confident using a skin care and cosmetic routine that fits your lifestyle and budget!

I want to help you create a skin care and cosmetic routine that will make you feel beautiful and confident!

We will customize your products to work best with your skin type, your lifestyle and your budget!

Always Free Shipping!

Once you visit my Mary Kay website, get in touch with me. We will work together to get the perfect product line just for you.

You’ll always get FREE shipping when you order on my website or from my personal inventory!

Https://Marykay.com/cajohnston

Shop my Mary Kay website

Join the Beautiful Confident YOU Facebook Group

connie johnston

I'd love to hear from you!
304-550-4161
connie@midlifelivin.com
Walkersville, West Virginia

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Affiliate info

Mid-Life Livin’ is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Some links are my affiliate links to other sites/brands, which means I may get a commission when you purchase at no additional cost to you.