Join the InseCurity Melts Panel Program

First name

Last name

Email

Phone

Mailing Address

Birthday

Section 2: Get to Know You

Why are you interested in joining the Insecurity Melts Panel Program?

Have you used subscription boxes before?

Yes

No

Which of the following best describes you?

I love skincare and self-care products.

I enjoy faith-based and personal growth communities.

I am comfortable providing feedback and testimonials.

I actively engage on social media and YouTube.

Section 3: Commitment Requirements

By signing up, you agree to:

Engage with our YouTube channel by watching 3 videos per month and commenting with the unique code provided.
Provide honest feedback on all products in the subscription box.
Participate in our private community and share testimonials.

Do you agree to fulfill these requirements?

Section 4: Payment Details

Panel members receive 30% off for 3 months. After the program ends, members receive additional discounts for the next 3 boxes (30%, 20%, and 10%).
Subscription costs:
- 2-product box: $17.49 per month
- 3-product box: $24.49 per month
- 4-product box: $31.49 per month
Payment instructions will follow once your application is approved.

Which box plan would you like to subscribe to?

2-product box

3-product box

4-product box

Section 5: Social Media Handles (Optional)

We’d love to follow and connect with you!

Provide your handles here

Subscribe to get exclusive updates