Revel FIRM & TONE Belly Cream Sign-Up Form

Thanks for your interest in joining our customer survey!

As a participant you will receive our new FIRM & TONE Belly Cream for FREE

Provide a before photo of my belly area that Revel Beauty can use for BOTH Research and Marketing purposes (see Consent below)

Provide an "After" photo of my belly area that Revel Beauty can use for BOTH Research and Marketing purpoess (see Consent below)

Use the provided product for four weeks

Answer a feedback survey regarding my experience with the products

First name

Last name

Age

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Phone Number

Yes, I consent

No, I do not consent