julianix.com Open in urlscan Pro
2606:4700:3030::ac43:9417  Public Scan

URL: https://julianix.com/
Submission: On February 04 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

POST /#gf_10

<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_10" id="gform_10" action="/#gf_10" data-formid="10" novalidate="">
  <div class="gform-body gform_body">
    <div id="gform_fields_10" class="gform_fields top_label form_sublabel_below description_below">
      <fieldset id="field_10_3" class="gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_3">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_10_3">
          <span id="input_10_3_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_3.3" id="input_10_3_3" value="" aria-required="true">
            <label for="input_10_3_3" class="gform-field-label gform-field-label--type-sub ">First</label>
          </span>
          <span id="input_10_3_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
            <input type="text" name="input_3.6" id="input_10_3_6" value="" aria-required="true">
            <label for="input_10_3_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
          </span>
        </div>
      </fieldset>
      <div id="field_10_5" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_5"><label
          class="gfield_label gform-field-label" for="input_10_5">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_5" id="input_10_5" type="email" value="" class="large" aria-required="true" aria-invalid="false">
        </div>
      </div>
      <div id="field_10_6" class="gfield gfield--type-phone gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_6"><label class="gfield_label gform-field-label"
          for="input_10_6">Phone</label>
        <div class="ginput_container ginput_container_phone"><input name="input_6" id="input_10_6" type="tel" value="" class="large" aria-invalid="false"></div>
      </div>
      <fieldset id="field_10_20" class="gfield gfield--type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_20">
        <legend class="gfield_label gform-field-label gfield_label_before_complex">Address (fill out if you want samples mailed to you)</legend>
        <div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row" id="input_10_20">
          <span class="ginput_full address_line_1 ginput_address_line_1 gform-grid-col" id="input_10_20_1_container">
            <input type="text" name="input_20.1" id="input_10_20_1" value="" aria-required="false">
            <label for="input_10_20_1" id="input_10_20_1_label" class="gform-field-label gform-field-label--type-sub ">Street Address</label>
          </span><span class="ginput_full address_line_2 ginput_address_line_2 gform-grid-col" id="input_10_20_2_container">
            <input type="text" name="input_20.2" id="input_10_20_2" value="" aria-required="false">
            <label for="input_10_20_2" id="input_10_20_2_label" class="gform-field-label gform-field-label--type-sub ">Address Line 2</label>
          </span><span class="ginput_left address_city ginput_address_city gform-grid-col" id="input_10_20_3_container">
            <input type="text" name="input_20.3" id="input_10_20_3" value="" aria-required="false">
            <label for="input_10_20_3" id="input_10_20_3_label" class="gform-field-label gform-field-label--type-sub ">City</label>
          </span><span class="ginput_right address_state ginput_address_state gform-grid-col" id="input_10_20_4_container">
            <input type="text" name="input_20.4" id="input_10_20_4" value="" aria-required="false">
            <label for="input_10_20_4" id="input_10_20_4_label" class="gform-field-label gform-field-label--type-sub ">State / Province / Region</label>
          </span><span class="ginput_left address_zip ginput_address_zip gform-grid-col" id="input_10_20_5_container">
            <input type="text" name="input_20.5" id="input_10_20_5" value="" aria-required="false">
            <label for="input_10_20_5" id="input_10_20_5_label" class="gform-field-label gform-field-label--type-sub ">ZIP / Postal Code</label>
          </span><span class="ginput_right address_country ginput_address_country gform-grid-col" id="input_10_20_6_container">
            <select name="input_20.6" id="input_10_20_6" aria-required="false">
              <option value=""></option>
              <option value="Afghanistan">Afghanistan</option>
              <option value="Albania">Albania</option>
              <option value="Algeria">Algeria</option>
              <option value="American Samoa">American Samoa</option>
              <option value="Andorra">Andorra</option>
              <option value="Angola">Angola</option>
              <option value="Anguilla">Anguilla</option>
              <option value="Antarctica">Antarctica</option>
              <option value="Antigua and Barbuda">Antigua and Barbuda</option>
              <option value="Argentina">Argentina</option>
              <option value="Armenia">Armenia</option>
              <option value="Aruba">Aruba</option>
              <option value="Australia">Australia</option>
              <option value="Austria">Austria</option>
              <option value="Azerbaijan">Azerbaijan</option>
              <option value="Bahamas">Bahamas</option>
              <option value="Bahrain">Bahrain</option>
              <option value="Bangladesh">Bangladesh</option>
              <option value="Barbados">Barbados</option>
              <option value="Belarus">Belarus</option>
              <option value="Belgium">Belgium</option>
              <option value="Belize">Belize</option>
              <option value="Benin">Benin</option>
              <option value="Bermuda">Bermuda</option>
              <option value="Bhutan">Bhutan</option>
              <option value="Bolivia">Bolivia</option>
              <option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
              <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
              <option value="Botswana">Botswana</option>
              <option value="Bouvet Island">Bouvet Island</option>
              <option value="Brazil">Brazil</option>
              <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
              <option value="Brunei Darussalam">Brunei Darussalam</option>
              <option value="Bulgaria">Bulgaria</option>
              <option value="Burkina Faso">Burkina Faso</option>
              <option value="Burundi">Burundi</option>
              <option value="Cabo Verde">Cabo Verde</option>
              <option value="Cambodia">Cambodia</option>
              <option value="Cameroon">Cameroon</option>
              <option value="Canada">Canada</option>
              <option value="Cayman Islands">Cayman Islands</option>
              <option value="Central African Republic">Central African Republic</option>
              <option value="Chad">Chad</option>
              <option value="Chile">Chile</option>
              <option value="China">China</option>
              <option value="Christmas Island">Christmas Island</option>
              <option value="Cocos Islands">Cocos Islands</option>
              <option value="Colombia">Colombia</option>
              <option value="Comoros">Comoros</option>
              <option value="Congo">Congo</option>
              <option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
              <option value="Cook Islands">Cook Islands</option>
              <option value="Costa Rica">Costa Rica</option>
              <option value="Croatia">Croatia</option>
              <option value="Cuba">Cuba</option>
              <option value="Curaçao">Curaçao</option>
              <option value="Cyprus">Cyprus</option>
              <option value="Czechia">Czechia</option>
              <option value="Côte d'Ivoire">Côte d'Ivoire</option>
              <option value="Denmark">Denmark</option>
              <option value="Djibouti">Djibouti</option>
              <option value="Dominica">Dominica</option>
              <option value="Dominican Republic">Dominican Republic</option>
              <option value="Ecuador">Ecuador</option>
              <option value="Egypt">Egypt</option>
              <option value="El Salvador">El Salvador</option>
              <option value="Equatorial Guinea">Equatorial Guinea</option>
              <option value="Eritrea">Eritrea</option>
              <option value="Estonia">Estonia</option>
              <option value="Eswatini">Eswatini</option>
              <option value="Ethiopia">Ethiopia</option>
              <option value="Falkland Islands">Falkland Islands</option>
              <option value="Faroe Islands">Faroe Islands</option>
              <option value="Fiji">Fiji</option>
              <option value="Finland">Finland</option>
              <option value="France">France</option>
              <option value="French Guiana">French Guiana</option>
              <option value="French Polynesia">French Polynesia</option>
              <option value="French Southern Territories">French Southern Territories</option>
              <option value="Gabon">Gabon</option>
              <option value="Gambia">Gambia</option>
              <option value="Georgia">Georgia</option>
              <option value="Germany">Germany</option>
              <option value="Ghana">Ghana</option>
              <option value="Gibraltar">Gibraltar</option>
              <option value="Greece">Greece</option>
              <option value="Greenland">Greenland</option>
              <option value="Grenada">Grenada</option>
              <option value="Guadeloupe">Guadeloupe</option>
              <option value="Guam">Guam</option>
              <option value="Guatemala">Guatemala</option>
              <option value="Guernsey">Guernsey</option>
              <option value="Guinea">Guinea</option>
              <option value="Guinea-Bissau">Guinea-Bissau</option>
              <option value="Guyana">Guyana</option>
              <option value="Haiti">Haiti</option>
              <option value="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
              <option value="Holy See">Holy See</option>
              <option value="Honduras">Honduras</option>
              <option value="Hong Kong">Hong Kong</option>
              <option value="Hungary">Hungary</option>
              <option value="Iceland">Iceland</option>
              <option value="India">India</option>
              <option value="Indonesia">Indonesia</option>
              <option value="Iran">Iran</option>
              <option value="Iraq">Iraq</option>
              <option value="Ireland">Ireland</option>
              <option value="Isle of Man">Isle of Man</option>
              <option value="Israel">Israel</option>
              <option value="Italy">Italy</option>
              <option value="Jamaica">Jamaica</option>
              <option value="Japan">Japan</option>
              <option value="Jersey">Jersey</option>
              <option value="Jordan">Jordan</option>
              <option value="Kazakhstan">Kazakhstan</option>
              <option value="Kenya">Kenya</option>
              <option value="Kiribati">Kiribati</option>
              <option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
              <option value="Korea, Republic of">Korea, Republic of</option>
              <option value="Kuwait">Kuwait</option>
              <option value="Kyrgyzstan">Kyrgyzstan</option>
              <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
              <option value="Latvia">Latvia</option>
              <option value="Lebanon">Lebanon</option>
              <option value="Lesotho">Lesotho</option>
              <option value="Liberia">Liberia</option>
              <option value="Libya">Libya</option>
              <option value="Liechtenstein">Liechtenstein</option>
              <option value="Lithuania">Lithuania</option>
              <option value="Luxembourg">Luxembourg</option>
              <option value="Macao">Macao</option>
              <option value="Madagascar">Madagascar</option>
              <option value="Malawi">Malawi</option>
              <option value="Malaysia">Malaysia</option>
              <option value="Maldives">Maldives</option>
              <option value="Mali">Mali</option>
              <option value="Malta">Malta</option>
              <option value="Marshall Islands">Marshall Islands</option>
              <option value="Martinique">Martinique</option>
              <option value="Mauritania">Mauritania</option>
              <option value="Mauritius">Mauritius</option>
              <option value="Mayotte">Mayotte</option>
              <option value="Mexico">Mexico</option>
              <option value="Micronesia">Micronesia</option>
              <option value="Moldova">Moldova</option>
              <option value="Monaco">Monaco</option>
              <option value="Mongolia">Mongolia</option>
              <option value="Montenegro">Montenegro</option>
              <option value="Montserrat">Montserrat</option>
              <option value="Morocco">Morocco</option>
              <option value="Mozambique">Mozambique</option>
              <option value="Myanmar">Myanmar</option>
              <option value="Namibia">Namibia</option>
              <option value="Nauru">Nauru</option>
              <option value="Nepal">Nepal</option>
              <option value="Netherlands">Netherlands</option>
              <option value="New Caledonia">New Caledonia</option>
              <option value="New Zealand">New Zealand</option>
              <option value="Nicaragua">Nicaragua</option>
              <option value="Niger">Niger</option>
              <option value="Nigeria">Nigeria</option>
              <option value="Niue">Niue</option>
              <option value="Norfolk Island">Norfolk Island</option>
              <option value="North Macedonia">North Macedonia</option>
              <option value="Northern Mariana Islands">Northern Mariana Islands</option>
              <option value="Norway">Norway</option>
              <option value="Oman">Oman</option>
              <option value="Pakistan">Pakistan</option>
              <option value="Palau">Palau</option>
              <option value="Palestine, State of">Palestine, State of</option>
              <option value="Panama">Panama</option>
              <option value="Papua New Guinea">Papua New Guinea</option>
              <option value="Paraguay">Paraguay</option>
              <option value="Peru">Peru</option>
              <option value="Philippines">Philippines</option>
              <option value="Pitcairn">Pitcairn</option>
              <option value="Poland">Poland</option>
              <option value="Portugal">Portugal</option>
              <option value="Puerto Rico">Puerto Rico</option>
              <option value="Qatar">Qatar</option>
              <option value="Romania">Romania</option>
              <option value="Russian Federation">Russian Federation</option>
              <option value="Rwanda">Rwanda</option>
              <option value="Réunion">Réunion</option>
              <option value="Saint Barthélemy">Saint Barthélemy</option>
              <option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</option>
              <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
              <option value="Saint Lucia">Saint Lucia</option>
              <option value="Saint Martin">Saint Martin</option>
              <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
              <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
              <option value="Samoa">Samoa</option>
              <option value="San Marino">San Marino</option>
              <option value="Sao Tome and Principe">Sao Tome and Principe</option>
              <option value="Saudi Arabia">Saudi Arabia</option>
              <option value="Senegal">Senegal</option>
              <option value="Serbia">Serbia</option>
              <option value="Seychelles">Seychelles</option>
              <option value="Sierra Leone">Sierra Leone</option>
              <option value="Singapore">Singapore</option>
              <option value="Sint Maarten">Sint Maarten</option>
              <option value="Slovakia">Slovakia</option>
              <option value="Slovenia">Slovenia</option>
              <option value="Solomon Islands">Solomon Islands</option>
              <option value="Somalia">Somalia</option>
              <option value="South Africa">South Africa</option>
              <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
              <option value="South Sudan">South Sudan</option>
              <option value="Spain">Spain</option>
              <option value="Sri Lanka">Sri Lanka</option>
              <option value="Sudan">Sudan</option>
              <option value="Suriname">Suriname</option>
              <option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option>
              <option value="Sweden">Sweden</option>
              <option value="Switzerland">Switzerland</option>
              <option value="Syria Arab Republic">Syria Arab Republic</option>
              <option value="Taiwan">Taiwan</option>
              <option value="Tajikistan">Tajikistan</option>
              <option value="Tanzania, the United Republic of">Tanzania, the United Republic of</option>
              <option value="Thailand">Thailand</option>
              <option value="Timor-Leste">Timor-Leste</option>
              <option value="Togo">Togo</option>
              <option value="Tokelau">Tokelau</option>
              <option value="Tonga">Tonga</option>
              <option value="Trinidad and Tobago">Trinidad and Tobago</option>
              <option value="Tunisia">Tunisia</option>
              <option value="Turkmenistan">Turkmenistan</option>
              <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
              <option value="Tuvalu">Tuvalu</option>
              <option value="Türkiye">Türkiye</option>
              <option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
              <option value="Uganda">Uganda</option>
              <option value="Ukraine">Ukraine</option>
              <option value="United Arab Emirates">United Arab Emirates</option>
              <option value="United Kingdom">United Kingdom</option>
              <option value="United States" selected="selected">United States</option>
              <option value="Uruguay">Uruguay</option>
              <option value="Uzbekistan">Uzbekistan</option>
              <option value="Vanuatu">Vanuatu</option>
              <option value="Venezuela">Venezuela</option>
              <option value="Viet Nam">Viet Nam</option>
              <option value="Virgin Islands, British">Virgin Islands, British</option>
              <option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
              <option value="Wallis and Futuna">Wallis and Futuna</option>
              <option value="Western Sahara">Western Sahara</option>
              <option value="Yemen">Yemen</option>
              <option value="Zambia">Zambia</option>
              <option value="Zimbabwe">Zimbabwe</option>
              <option value="Åland Islands">Åland Islands</option>
            </select>
            <label for="input_10_20_6" id="input_10_20_6_label" class="gform-field-label gform-field-label--type-sub ">Country</label>
          </span>
          <div class="gf_clear gf_clear_complex"></div>
        </div>
      </fieldset>
      <fieldset id="field_10_7" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_7">
        <legend class="gfield_label gform-field-label">What's your Beautycounter status?<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_7">
            <div class="gchoice gchoice_10_7_0">
              <input class="gfield-choice-input" name="input_7" type="radio" value="I love Beautycounter &amp; I use many products." id="choice_10_7_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_7_0" id="label_10_7_0" class="gform-field-label gform-field-label--type-inline">I love Beautycounter &amp; I use many products.</label>
            </div>
            <div class="gchoice gchoice_10_7_1">
              <input class="gfield-choice-input" name="input_7" type="radio" value="I've never tried Beautycounter before." id="choice_10_7_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_7_1" id="label_10_7_1" class="gform-field-label gform-field-label--type-inline">I’ve never tried Beautycounter before.</label>
            </div>
            <div class="gchoice gchoice_10_7_2">
              <input class="gfield-choice-input" name="input_7" type="radio" value="I want to introduce Beautycounter to my friends in an online or in-person 'party' setting." id="choice_10_7_2" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_7_2" id="label_10_7_2" class="gform-field-label gform-field-label--type-inline">I want to introduce Beautycounter to my friends in an online or in-person ‘party’ setting.</label>
            </div>
            <div class="gchoice gchoice_10_7_3">
              <input class="gfield-choice-input" name="input_7" type="radio" value="I want to see if I qualify to be a Brand Advocate." id="choice_10_7_3" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_7_3" id="label_10_7_3" class="gform-field-label gform-field-label--type-inline">I want to see if I qualify to be a Brand Advocate.</label>
            </div>
            <div class="gchoice gchoice_10_7_4">
              <input class="gfield-choice-input" name="input_7" type="radio" value="gf_other_choice" id="choice_10_7_4" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_7_4" id="label_10_7_4" class="gform-field-label gform-field-label--type-inline">Other</label><br><input id="input_10_7_other" class="gchoice_other_control" name="input_7_other" type="text" value="Other"
                aria-label="Other Choice, please specify" disabled="disabled">
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_9" class="gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_9">
        <legend class="gfield_label gform-field-label">How old are you?</legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_9">
            <div class="gchoice gchoice_10_9_0">
              <input class="gfield-choice-input" name="input_9" type="radio" value="Under 30" id="choice_10_9_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_9_0" id="label_10_9_0" class="gform-field-label gform-field-label--type-inline">Under 30</label>
            </div>
            <div class="gchoice gchoice_10_9_1">
              <input class="gfield-choice-input" name="input_9" type="radio" value="30 - 49" id="choice_10_9_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_9_1" id="label_10_9_1" class="gform-field-label gform-field-label--type-inline">30 – 49</label>
            </div>
            <div class="gchoice gchoice_10_9_2">
              <input class="gfield-choice-input" name="input_9" type="radio" value="50+" id="choice_10_9_2" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_9_2" id="label_10_9_2" class="gform-field-label gform-field-label--type-inline">50+</label>
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_10" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_10">
        <legend class="gfield_label gform-field-label">Which of the following best describes your skin type?<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_10">
            <div class="gchoice gchoice_10_10_0">
              <input class="gfield-choice-input" name="input_10" type="radio" value="Oily: Your skin tends to be shiny and may be prone to acne or blackheads." id="choice_10_10_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_10_0" id="label_10_10_0" class="gform-field-label gform-field-label--type-inline">Oily: Your skin tends to be shiny and may be prone to acne or blackheads.</label>
            </div>
            <div class="gchoice gchoice_10_10_1">
              <input class="gfield-choice-input" name="input_10" type="radio" value="Dry: Your skin often feels tight, flaky, or rough." id="choice_10_10_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_10_1" id="label_10_10_1" class="gform-field-label gform-field-label--type-inline">Dry: Your skin often feels tight, flaky, or rough.</label>
            </div>
            <div class="gchoice gchoice_10_10_2">
              <input class="gfield-choice-input" name="input_10" type="radio" value="Combination: You experience a mix of both oily and dry areas on your face." id="choice_10_10_2" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_10_2" id="label_10_10_2" class="gform-field-label gform-field-label--type-inline">Combination: You experience a mix of both oily and dry areas on your face.</label>
            </div>
            <div class="gchoice gchoice_10_10_3">
              <input class="gfield-choice-input" name="input_10" type="radio" value="Normal: Your skin is balanced, not too oily nor too dry." id="choice_10_10_3" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_10_3" id="label_10_10_3" class="gform-field-label gform-field-label--type-inline">Normal: Your skin is balanced, not too oily nor too dry.</label>
            </div>
            <div class="gchoice gchoice_10_10_4">
              <input class="gfield-choice-input" name="input_10" type="radio" value="Sensitive: Your skin is prone to redness, irritation, or allergic reactions." id="choice_10_10_4" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_10_4" id="label_10_10_4" class="gform-field-label gform-field-label--type-inline">Sensitive: Your skin is prone to redness, irritation, or allergic reactions.</label>
            </div>
            <div class="gchoice gchoice_10_10_5">
              <input class="gfield-choice-input" name="input_10" type="radio" value="gf_other_choice" id="choice_10_10_5" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_10_5" id="label_10_10_5" class="gform-field-label gform-field-label--type-inline">Other</label><br><input id="input_10_10_other" class="gchoice_other_control" name="input_10_other" type="text" value="Other"
                aria-label="Other Choice, please specify" disabled="disabled">
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_11" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_11">
        <legend class="gfield_label gform-field-label">What's your primary skin concern?<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_11">
            <div class="gchoice gchoice_10_11_0">
              <input class="gfield-choice-input" name="input_11" type="radio" value="Active Acne" id="choice_10_11_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_11_0" id="label_10_11_0" class="gform-field-label gform-field-label--type-inline">Active Acne</label>
            </div>
            <div class="gchoice gchoice_10_11_1">
              <input class="gfield-choice-input" name="input_11" type="radio" value="Dryness" id="choice_10_11_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_11_1" id="label_10_11_1" class="gform-field-label gform-field-label--type-inline">Dryness</label>
            </div>
            <div class="gchoice gchoice_10_11_2">
              <input class="gfield-choice-input" name="input_11" type="radio" value="Fine Lines &amp; Wrinkles" id="choice_10_11_2" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_11_2" id="label_10_11_2" class="gform-field-label gform-field-label--type-inline">Fine Lines &amp; Wrinkles</label>
            </div>
            <div class="gchoice gchoice_10_11_3">
              <input class="gfield-choice-input" name="input_11" type="radio" value="Uneven Skin Tone" id="choice_10_11_3" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_11_3" id="label_10_11_3" class="gform-field-label gform-field-label--type-inline">Uneven Skin Tone</label>
            </div>
            <div class="gchoice gchoice_10_11_4">
              <input class="gfield-choice-input" name="input_11" type="radio" value="No Major Concerns - Interested in Safer Products" id="choice_10_11_4" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_11_4" id="label_10_11_4" class="gform-field-label gform-field-label--type-inline">No Major Concerns – Interested in Safer Products</label>
            </div>
            <div class="gchoice gchoice_10_11_5">
              <input class="gfield-choice-input" name="input_11" type="radio" value="gf_other_choice" id="choice_10_11_5" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_11_5" id="label_10_11_5" class="gform-field-label gform-field-label--type-inline">Other</label><br><input id="input_10_11_other" class="gchoice_other_control" name="input_11_other" type="text" value="Other"
                aria-label="Other Choice, please specify" disabled="disabled">
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_21" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_21">
        <legend class="gfield_label gform-field-label">What's your secondary skin concern?<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_21">
            <div class="gchoice gchoice_10_21_0">
              <input class="gfield-choice-input" name="input_21" type="radio" value="Dullness" id="choice_10_21_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_21_0" id="label_10_21_0" class="gform-field-label gform-field-label--type-inline">Dullness</label>
            </div>
            <div class="gchoice gchoice_10_21_1">
              <input class="gfield-choice-input" name="input_21" type="radio" value="Large Pores" id="choice_10_21_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_21_1" id="label_10_21_1" class="gform-field-label gform-field-label--type-inline">Large Pores</label>
            </div>
            <div class="gchoice gchoice_10_21_2">
              <input class="gfield-choice-input" name="input_21" type="radio" value="Fine Lines &amp; Wrinkles" id="choice_10_21_2" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_21_2" id="label_10_21_2" class="gform-field-label gform-field-label--type-inline">Fine Lines &amp; Wrinkles</label>
            </div>
            <div class="gchoice gchoice_10_21_3">
              <input class="gfield-choice-input" name="input_21" type="radio" value="Redness" id="choice_10_21_3" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_21_3" id="label_10_21_3" class="gform-field-label gform-field-label--type-inline">Redness</label>
            </div>
            <div class="gchoice gchoice_10_21_4">
              <input class="gfield-choice-input" name="input_21" type="radio" value="Skin Spots &amp; Discoloration" id="choice_10_21_4" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_21_4" id="label_10_21_4" class="gform-field-label gform-field-label--type-inline">Skin Spots &amp; Discoloration</label>
            </div>
            <div class="gchoice gchoice_10_21_5">
              <input class="gfield-choice-input" name="input_21" type="radio" value="No Major Concerns" id="choice_10_21_5" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_21_5" id="label_10_21_5" class="gform-field-label gform-field-label--type-inline">No Major Concerns</label>
            </div>
            <div class="gchoice gchoice_10_21_6">
              <input class="gfield-choice-input" name="input_21" type="radio" value="gf_other_choice" id="choice_10_21_6" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_21_6" id="label_10_21_6" class="gform-field-label gform-field-label--type-inline">Other</label><br><input id="input_10_21_other" class="gchoice_other_control" name="input_21_other" type="text" value="Other"
                aria-label="Other Choice, please specify" disabled="disabled">
            </div>
          </div>
        </div>
      </fieldset>
      <fieldset id="field_10_22" class="gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible"
        data-js-reload="field_10_22">
        <legend class="gfield_label gform-field-label">What's Your Relationship with Skincare?<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
        <div class="ginput_container ginput_container_radio">
          <div class="gfield_radio" id="input_10_22">
            <div class="gchoice gchoice_10_22_0">
              <input class="gfield-choice-input" name="input_22" type="radio" value="Skincare is everything to me, day &amp; night." id="choice_10_22_0" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_22_0" id="label_10_22_0" class="gform-field-label gform-field-label--type-inline">Skincare is everything to me, day &amp; night.</label>
            </div>
            <div class="gchoice gchoice_10_22_1">
              <input class="gfield-choice-input" name="input_22" type="radio" value="I have a decent multi-step routine." id="choice_10_22_1" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_22_1" id="label_10_22_1" class="gform-field-label gform-field-label--type-inline">I have a decent multi-step routine.</label>
            </div>
            <div class="gchoice gchoice_10_22_2">
              <input class="gfield-choice-input" name="input_22" type="radio" value="I only use face wash &amp; moisturizer." id="choice_10_22_2" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_22_2" id="label_10_22_2" class="gform-field-label gform-field-label--type-inline">I only use face wash &amp; moisturizer.</label>
            </div>
            <div class="gchoice gchoice_10_22_3">
              <input class="gfield-choice-input" name="input_22" type="radio" value="What? I should wash my face with something other than the soap in the shower?" id="choice_10_22_3" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_22_3" id="label_10_22_3" class="gform-field-label gform-field-label--type-inline">What? I should wash my face with something other than the soap in the shower?</label>
            </div>
            <div class="gchoice gchoice_10_22_4">
              <input class="gfield-choice-input" name="input_22" type="radio" value="gf_other_choice" id="choice_10_22_4" onchange="gformToggleRadioOther( this )">
              <label for="choice_10_22_4" id="label_10_22_4" class="gform-field-label gform-field-label--type-inline">Other</label><br><input id="input_10_22_other" class="gchoice_other_control" name="input_22_other" type="text" value="Other"
                aria-label="Other Choice, please specify" disabled="disabled">
            </div>
          </div>
        </div>
      </fieldset>
      <div id="field_10_18" class="gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_10_18"><label
          class="gfield_label gform-field-label" for="input_10_18">Please list any other concerns or questions you might have here. Happy to help!</label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_18" id="input_10_18" class="textarea large" aria-invalid="false" rows="10" cols="50"></textarea></div>
      </div>
    </div>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_10" class="gform_button button gform-button--width-full" value="Submit"
      onclick="if(window[&quot;gf_submitting_10&quot;]){return false;}  if( !jQuery(&quot;#gform_10&quot;)[0].checkValidity || jQuery(&quot;#gform_10&quot;)[0].checkValidity()){window[&quot;gf_submitting_10&quot;]=true;}  "
      onkeypress="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_10&quot;]){return false;} if( !jQuery(&quot;#gform_10&quot;)[0].checkValidity || jQuery(&quot;#gform_10&quot;)[0].checkValidity()){window[&quot;gf_submitting_10&quot;]=true;}  jQuery(&quot;#gform_10&quot;).trigger(&quot;submit&quot;,[true]); }"
      data-conditional-logic="visible"> <input type="hidden" name="gform_ajax" value="form_id=10&amp;title=&amp;description=&amp;tabindex=0&amp;theme=data-form-theme='gravity-theme'">
    <input type="hidden" class="gform_hidden" name="is_submit_10" value="1">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="10">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
    <input type="hidden" class="gform_hidden" name="state_10"
      value="WyJ7XCI3XCI6W1wiNzRmZTk3ZDI0ZTlmOTU1ZWY5NTE2NDY4YWEyN2VlZDlcIixcIjY3NmQ1ZWIxY2Y1MmQ4ZGQ1MDJmM2M4OTAzNzczMmM2XCIsXCIxMmI0ZWU1YWI4NDRiOWFhNjQ2ZmIwMmU4ZjIxMzA3NFwiLFwiY2JiNzI3YTgxMzFmOTJjZTM1YmQ4NTg5ZWVkMGFlOGRcIl0sXCI5XCI6W1wiOTI2NTdmNWQwOGM2MjczY2MxYjZkYTk3MDZiMGU2YjlcIixcIjM1MWRhNjI0NTc2OGRjZGRhZGY2Y2M3NWUyZjc1NThjXCIsXCI5YTEwYzU3OGMxZGUxMWY4ZGY0YWRhYzY0MWE4MTBlZlwiXSxcIjEwXCI6W1wiZTkyNTk1ZDk1M2JmOTA1OGJlNjEwZDU3N2FiY2FkNTRcIixcImM5NTEyNGM2MmJkZmFhMjc2ZTFkOGExNTQwMTg3MjU5XCIsXCI5NjI0ZGEzOGEzZjc3MmUwN2NmMTEyZjNmZGNkNTUwNlwiLFwiY2I4ZjhmOWI4ODYxMDE3MjgzMjQyZWU1NThhNzA3NzlcIixcIjE3MjA2N2Q1YWY0YWNhOWY0YmMwNTFkNzIzZGQ4ZWJlXCJdLFwiMTFcIjpbXCJiY2RkNzI5MDI4MGRjNWFkNzhiNWVjMDM4MjkwNjExNVwiLFwiMGIxMDVkNWUwNTU3OTNlNzYxYzI5NThlZWVlODliZWRcIixcImJmZThmOThlN2E0YTM4NTZkZmMyMTkzYmMxZTM0NmQ5XCIsXCIzYjNkZWY2Yzc4NGJmNDdmODRjMGZlNjlhM2ExY2E4MFwiLFwiMGYzZjlhNmZjYTdhMjIzNDU5Y2MxNTFhMWI3ZDM4ZGZcIl0sXCIyMVwiOltcImIwZmY0MjY0M2IxZWY0MTkyYjRjOTVlMDA0MWNlMzI5XCIsXCI2MTZmN2JlZTM2YjMwZThmYWY1NTUwNDVmZTIzMmNmYVwiLFwiYmZlOGY5OGU3YTRhMzg1NmRmYzIxOTNiYzFlMzQ2ZDlcIixcImQwODhjNGQ2MjBlNmZkYjQxM2EzMmJiMThhNWI5ZDAzXCIsXCI0ODE1NzcyNTZlMjA4OTNlOTc4MzliOWE0OGY2YjUyOFwiLFwiZjViOWNlZDk3M2NkYzczNzUzMmUzNjMyYzM5MDFiNmVcIl0sXCIyMlwiOltcIjY5OTU1N2Y3OTg0NzZmYWRmMTg3YjU5NTdhNzI2MDYzXCIsXCI0ODBmOGYwY2I2MTlmODdmZWI0MTAyNTM1NzgwYjg4M1wiLFwiODNmODZhYmRhZmE3MzQ2NzI2NjdmMzkwN2I2M2EwMWJcIixcIjUyYmMxMjI2NTA4YjM4YjBkZDQ5NzBhNTdmZDUwM2UxXCJdfSIsIjc0YWM0MTkwZmU2MjA4ZDc3YWU5NTk0YWRiNjAwMmRjIl0=">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_10" id="gform_target_page_number_10" value="0">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_10" id="gform_source_page_number_10" value="1">
    <input type="hidden" name="gform_field_values" value="">
  </div>
  <input type="hidden" id="ct_checkjs_dbe272bab69f8e13f14b405e038deb64" name="ct_checkjs" value="40795208">
  <script>
    setTimeout(function() {
      var ct_input_name = "ct_checkjs_dbe272bab69f8e13f14b405e038deb64";
      if (document.getElementById(ct_input_name) !== null) {
        var ct_input_value = document.getElementById(ct_input_name).value;
        document.getElementById(ct_input_name).value = document.getElementById(ct_input_name).value.replace(ct_input_value, '40795208');
      }
    }, 1000);
  </script><label class="apbct_special_field" id="apbct_label_id39602" for="apbct__email_id__gravity_form_39602">39602</label><input id="apbct__email_id__gravity_form_39602" class="apbct_special_field apbct__email_id__gravity_form" autocomplete="off"
    name="apbct__email_id__gravity_form_39602" type="text" value="39602" size="30" apbct_event_id="39602" maxlength="200"><input id="apbct_event_id" class="apbct_special_field" name="apbct_event_id" type="hidden" value="39602"><input type="hidden"
    id="ct_bot_detector_event_token_8790" name="ct_bot_detector_event_token" value="b20b8f8bb38ad7696b8d3f6f49e07f5c8561c3f7bc328ecb14cc601ac6704541"><input type="hidden" id="apbct_visible_fields_0" name="apbct_visible_fields"
    value="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"><input
    name="ct_no_cookie_hidden_field"
    value="_ct_no_cookie_data_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"
    type="hidden" class="apbct_special_field ct_no_cookie_hidden_field">
</form>

Text Content

How does skincare prevent wrinkles?  LEARN MORE





 * HOME
 * BLOG
 * Catalog
 * Skincare Survey
 * SHOP MY BEAUTYCOUNTER SITE


facebook-squareinstagramlinkedinpinteresttiktoktwitteryoutube



SAFER SKINCARE & BETTER BEAUTY WITH JULIA NIX


WELCOME TO MY CORNER OF THE WEB!


“The Best Wrinkle is the One YOU Never Get” perfectly aligns with my mission as
a Beautycounter Brand Advocate.

Embracing clean beauty since 2015, I’m on a mission to help you make choices
that nurture your skin and defy the signs of aging.  If your goal is to shift
from harmful creams and endless options to products that actually work for you,
then let me be your skincare specialist.

Julia Nix 


OPT-IN FOR 20% OFF YOUR 1ST ORDER

YES, SEND ME THE CODE



A FEW OF MY FAVORITE THINGS


















A FEW OF MY FAVORITE PRODUCTS


DO YOU EXFOLIATE WHILE YOU SLEEP?

Overnight Resurfacing Peel is my go-to for the Alpha Hydroxy Acid (AHA)
ingredient, which works by exfoliating the top layer of dead skin cells
literally while I sleep.  It helps to improve skin texture, reduce the
appearance of fine lines & wrinkles, and even out skin tone.

READ MORE


ARE YOU STILL USING RETINOL?

May I suggest a switch to the safer ingredient Bakuchial, which you’ll find in
the Countertime Collection.  I love it because it has helped me to ‘age’
gracefully. It has improved my pore size, reduced the appearance of my fine
lines & wrinkles as well as helping me look less dull & dry.

SHOP NOW


WHERE'S YOUR SUNSCREEN? ON YOUR FACE OR BURIED IN YOUR BATHROOM DRAWER?

According to ‘Google,’ people who use sunscreen on a daily basis age 24% less
than people who only use it sometimes. Dew Skin Tinted Moisturizer makes it FUN
& EASY to use sunscreen everyday for youthful skin.

SHOP NOW


LET'S GET TOGETHER!

I LOVE connecting with people over a cup of coffee.  Meet me in-person in St.
Petersburg, FL or over Zoom and the coffee is MY TREAT!

As we get acquainted, you’ll find that I am a child of God, a ‘graduated’
Homeschool Mom of 5 sons, a drinker of coffee as well as a passionate Brand
Advocate with Beautycounter.

Take a minute to fill out my connection form below.




DIVE INTO MY SKINCARE SURVEY

a quick and fun way to discover personalized, safer choices!
Name(Required)
First Last
Email(Required)

Phone

Address (fill out if you want samples mailed to you)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua
and
BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire,
Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish
Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo
VerdeCambodiaCameroonCanadaCayman IslandsCentral African
RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo,
Democratic Republic of theCook IslandsCosta
RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican
RepublicEcuadorEgyptEl SalvadorEquatorial
GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe
IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern
TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard
Island and McDonald IslandsHoly SeeHondurasHong
KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of
ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic
People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall
IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew
CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth
MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State
ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto
RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena,
Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint
Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and
PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint
MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the
South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan
MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United
Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and
TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying
IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited
StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin
Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands
Country

What's your Beautycounter status?(Required)
I love Beautycounter & I use many products.
I’ve never tried Beautycounter before.
I want to introduce Beautycounter to my friends in an online or in-person
‘party’ setting.
I want to see if I qualify to be a Brand Advocate.
Other

How old are you?
Under 30
30 – 49
50+
Which of the following best describes your skin type?(Required)
Oily: Your skin tends to be shiny and may be prone to acne or blackheads.
Dry: Your skin often feels tight, flaky, or rough.
Combination: You experience a mix of both oily and dry areas on your face.
Normal: Your skin is balanced, not too oily nor too dry.
Sensitive: Your skin is prone to redness, irritation, or allergic reactions.
Other

What's your primary skin concern?(Required)
Active Acne
Dryness
Fine Lines & Wrinkles
Uneven Skin Tone
No Major Concerns – Interested in Safer Products
Other

What's your secondary skin concern?(Required)
Dullness
Large Pores
Fine Lines & Wrinkles
Redness
Skin Spots & Discoloration
No Major Concerns
Other

What's Your Relationship with Skincare?(Required)
Skincare is everything to me, day & night.
I have a decent multi-step routine.
I only use face wash & moisturizer.
What? I should wash my face with something other than the soap in the shower?
Other

Please list any other concerns or questions you might have here. Happy to help!


39602


CURIOUS TO KNOW IF YOU QUALIFY TO BE A BRAND ADVOCATE?

CONTINUE READING


HELLO, LIPSTICK LOVERS

Get ALL the news about Beautycounter’s Statement Maker Satin Lipstick…

CONTINUE READING


THE BEST WRINKLE IS THE ONE YOU NEVER GET!

How does skincare prevent wrinkles?

CONTINUE READING


WHY DO I NEED THIS? WHO IS IT FOR?

Another Beautycounter powerhouse to combat the signs of aging:  Mighty Plump
Ceramide Water Cream

CONTINUE READING


FOLLOW MY JOURNEY

For more information about Beautycounter AND Prizes & Giveaways

JOIN MY FACEBOOK V. I. P. GROUP: Julia Nix’s Safe & Clean

 



(352)223-5115
nixjulia5@gmail.com


This site was created by Julia Nix, Independent Consultant with Beautycounter.
Beautycounter has no connection with this site and does not sponsor or support
its content.

This site was created with Oh My, Hi. Get Yours!

Owner Login

 

Notifications