Lose Weight Now, Ask Me How!
Name:
Email Address:
Contact No
Occupation
Where Do You Live
Kuala Lumpur,Selangor
Negeri Sembilan,Melaka,Johor
Perak,Penang,Kedah,Perlis
Pahang,Kelantan,Terengganu
Sabah,Sarawak
Overseas
Have you register as a Herbalife Distributor in the past 2 years?
Yes
No
Are you interested in any of below?
Lose weight
Gain weight
Improve Health
Improve Energy
Improve Skin
Earn Extra Income
Extra information that can help me to guide you.
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Thursday 14 June 2012
Untitled
Im unsure
Unsure of the possibility
Unsure of the outcome
Unsure
Bismillah
Rabbi Yassir Wala Tu'assir
Semoga yang datang kali ini,
adalah dengan Berkat dan Rahmat
Amin
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