Customer Contact Form - Pure Romance Kit Sale

Customer Contact Form -
Pure Romance's Super Kit Sale!

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

I would love to chat with you for about 15-20 minutes to see how we can get your Pure Romance journey started! What is the best way to contact you? *

Phone Text Email Skype FaceTime Facebook

What time of day works best for you to be contacted? *

Morning (10am - 12pm) Afternoon (1pm - 4pm) Evening (7pm - 9pm)

When you start your Pure Romance business, how many hours per week are you wanting to contribute to your business? *

4 - 6 hours per week 8 - 10 hours per week 12 - 15 hours per week

Please tell me what interests you most about Pure Romance. *

Submit

Corinne Kinscherf
National Director/2015 Senior Board of Directors
www.PRbyCK.com
Corinne@PureRomance.com
404.993.7742

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