Grand Prize Drawing

Name of the Hostess from the party you are attending
First and Last Name
Address (street, state, city, zip)
Phone number
Email
Best way to reach you
Phone call
Text message
Email
Fb messenger
The Grand Prize might have some Lingerie! What size are you?
XS
S
M
L
XL
1X
2X
3X
Other
Please Specify:
What is your favorite Pure Romance product?
Do you have any absolute "No-No" items? I do not want to set any triggers 🤗
What is your favorite scent?
Secret Garden
Champagne Soirée
Honey & Gold
Dirty French
Love Story
Truly Sexy Flirt
Pink Prosecco
Heli Lavender & Chamomile
Titan -Mens
Atlas -Mens
Oak & Amber -Mens
Other
Please Specify:
Would you like to earn your own FREEBIES and Host your own online Party?
Yes! I love FREE!
I'm interested but have a busy schedule.
Not at the moment but keep me in mind for the future!
No thank you! I'm partied out.
Are you interested in earning an extra $500 a month and joining the Pure Romance Sister hood?
Um yes! I need that extra $$$
Sounds tempting, need more information please!
Not right now but I will be keeping this option open!
No, but thank you :)
Thank you for helping me out and taking the time to fill this out!
Comment on the post when you have completed, and I will send you a little something special from me 🤗
Thank you for helping me out and taking the time to fill this out!
Comment on the post when you have completed, and I will send you a little something special from me 🤗
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