My Beauty Bag:
0 Item
Search:
Welcome, if you are a Consultant/Partner, please
Login here.
Thermalissima Anti-Aging Facial treatment
Thermalissima is the power of peptides in anti-aging treatments. It is the state-of-the-art treatme...
24K Gold Cosmetic Sheets
The 24K Gold sheets are ideal for up selling or as an add-on to any anti-aging treatment. Wonderful...
Replenishment Night Treatment Optimale
Introducing a new product to the Exclusive Series Optimale line. This roll-on eye contour gel is ap...
Client Testimonial Information
Please fill in the form below to submit your testimonial on My Girl Cosmetique.
Name
:
*
Address
:
*
City
:
*
State
:
*
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
DISTRICT OF COLUMBIA
FL
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
PUERTO RICO
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
Other
Zip
:
*
Phone (Home)
:
*
Phone (Work)
Mobile Phone
Email Address
:
*
Age
:
Gender
Male
Female
How did you hear about SELVERT Skin Care Cosmetics? Check one.
TV
Radio
Newspaper
Magazine
Friend
Referring Esthetician
How would you characterize your skin: Check one:
Sensitive
Dry
Oily
Uneven (pigmentation)
Dehydrated (dull)
History of present skin care challenge
What is your most important skin care goal? Check one
Anti-aging
Pigmentation
Acne
Redness
Skin Tone
Stains
What SELVERT skin care products do you use? Check one
Cleanser
Toner
Scrub/Exfoliator
Mask
Moisturizer
Sunscreen
Other
Please provide a brief history of your past and current skin care regime at home.
Describe improvements/results gained by using SELVERT skin care cosmetics
I give My Girl Cosmetique permission to use my SELVERT skin care experience and likeness in published educational and promotional material. My signature indicates my willingness to be interviewed by an in-house or outside writer/editor for more information.
© copyright 2007 Mgscc all rights reserved
Home
.
About Us
.
Products
.
Post Client Testimonial
.
Let’s talk skin
.
Events
.
Careers
.
Contact Us
