ALPHA LIPID SDII: PROMOSI HEBAT

ORDER FORM

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Sunday, 16 December 2012

PROMOSI HEBAT ALPHA LIPID LIFELINE & ALPHA LIPID SDII, CALL/ SMS 0136418238 (NANI) @ ORDER TERUS DI SINI.

ALPHA LIPID LIFELINE
RM150/RM160
FREE SHAKER
*AHLI RM60

PAKEJ A. RM150/RM160
FREE BOOKLET
FREE SHAKER
*AHLI RM60

PAKEJ B RM300/RM320
FREE BOOKLET
FREE SHAKER
*AHLI RM60

PAKEJ C RM450/RM470
FREE BOOKLET
FREE SHAKER
*AHLI RM60

PAKEJ D RM600/RM660
FREE BOOKLET
FREE SHAKER
*AHLI RM60

Name:
Address:
I/C NO (for member registration)
Account No.(Maybank @ CIMB):
Contact No:
Email Address:
ALSD2-Alpha Lipid SD2 (in quantity)
ALPHA LIPID (In Quantity)
Membership Fee:
Sila buat bayaran ke akaun berikut:- MAYBANK- 112103186816 (Suzarni Suib) CIMB- 12480068009520 (Suzarni Suib)

ALPHA LIPID SDII