E-Club / Referral Program

Referrals Do Pay Off!!

Alabama Market
Alice Eddings- Dothan

Panama City/FWB Market
Monica VonKuren- Destin

West Florida/Pensacola/Mobile Market
Devan Yawn-Pensacola

Cruise for 2-
Kim Hannan -Pensacola

E-Club Sign Up
Required fields are indicated by an asterisk.

Name:
*
Address:
Phone Number :
(000-000-0000)
Email Address :
*
Birthday:
(00/00/0000)

Main store you tan at?:

*

What Package do you usually buy?

Are you a "VIP" Drafter?

If YES what level?

If NO, would you like information on our "VIP" plans starting at $24.95 a month?
Yes No
Are you  familiar with our Referral  program?
Yes No
Would you like to win a vacation?
Yes No
Do you use Indoor Tanning Lotions?
Yes No
Do you use a Daily Moisturizer?
Yes No