Request Beautycounter Samples Curious to sample out some clean beauty? Please answer the questions below. Name * First Name Last Name Email * Mailing Address (Please Include Full Address) Have You Tried Beautycounter products before? Yes No Are you a current Beautycounter customer of mine? Yes No Please Select the Sample You Would Like * Countertime Sample Pack (anti-aging, dry skin, suitable for sensitive skin) Countermatch Sample Pack (combo to normal skin) Countercontrol Sample Pack (oily and/or acne prone skin) Thank you!