Jessica Mia Moaiki | Digital Business Card

Name *

Last Name *

Email Address *

Cell Phone Number (Include area code) *

Your consultant's NAME *

Which of these appeal to you the most? *

MONEY- It may not buy happiness, but it will give me choices!!!

FLEXIBILITY - I love the idea of being my own boss and making my own schedule!

PERSONAL GROWTH - I'm ready for a positive environment & to become a better version of myself!

RECOGNITION & PRIZES - I want to be recognized for my work...cash, diamonds, sashes, trips...I want it all!

CAREER CAR - Driving for FREE is for ME! No car payments sounds good!

PERSONAL DISCOUNT - I prefer not to pay full price for my products! Imagine the money I will save!

OPPORTUNITY FOR ADVANCEMENT - I want the ability to promote myself.

TAX BENEFITS & TRIPS - I love traveling and can use the 'write-offs'.

Of everything you heard what "ONE THING" stood out the most? *

Age Range *

18-25

26-35

36-45

46-59

60+

For training purposes are you willing to participate in a 3 way call/interview with your consultant & her director? *

Yes

No

Would you like to learn more about Skin Care or Makeup and earn FREE products as a hostess? *

Yes

No

What is your interest in partnering with us and starting your own Mary Kay Business? *

YES! I'm so excited! I'm ready to order my demo kit and receive my FREE gift!

I'm intrigued...Can we set up a time to talk about how this can work for me?

No thanks, I'm currently NOT looking to change my circumstances, but am happy to refer people who may.

Which 1 item would you like at 50% off for helping today? *