·To refer a new customer, please complete this form, print it, and give it to your friend.
· You are eligible for a referral award discount only when you refer new customers
· Refer as many as you’d like. Beauty Essence appreciates your patronage

Your information
Name:____________________________________________________
E-Mail:____________________________________________________
Address:___________________________________________________
Telephone Number:__________________________________________
Beauty Essence Representative: _______________________________

New Customer Information
Name:____________________________________________________
E-Mail:____________________________________________________
Address:___________________________________________________
Telephone Number:__________________________________________

Beauty Essence Control
Date:____________________________________________________
Discount amount:__________________________________________
Control Number:___________________________________________