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GOJI Bermakna GAJI:- Mulakan Langkah Pertama Anda Ke Arah Menjadi Usahawan Goji yang Berjaya.....

http://www.bio-asli.com/daftar.asp?id=bs8amn

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Goji Products Enhance 1Healthy Nation

Goji Products Enhance 1Healthy Nation

Order Form (Borang Pesanan)

To order (1). Complete the form below; (2). Bank-in the payment to my MBB account No. 164164001535; (3). Inform me; (4). I will contact you for shipping purposes. ** Order more than 26PV for free membership worth RM35 for WM/ RM40 for EM & free shipping Thanks for your co-operation. [Utk membuat pesanan, sila (1). Lengkapkan borang; (2). Bank-in pembayaran anda ke dalam akaun MBB No. 164164001535; (3). Maklumkan saya; (4). Saya akan menghubungi anda semula utk tujuan penghantaran. ** Pesanan yang melebihi 26PV melayakkan anda menjadi ahli secara percuma yg bernilai RM35 utk WM/ RM40 utk EM serta penghantaran percuma.

Terima Kasih atas kerjasama yang diberikan.]
Product Ordered (Produk Dipesan)
Quantity (Kuantiti)
Name (Nama):
E-mail (E-mel):
Phone Number (Nombor Telefon):
Full Address (Alamat Lengkap):
Comment (Komen):
Free email forms

ON-LINE DISTRIBUTOR APPLICATION FORM (BORANG PERMOHONAN ON-LINE PENGEDAR)

To apply as a distributor, please

(1). Complete the form below with the required particulars;

(2). Bank-in the payment to my MBB account No. 164164001535;

(3). Inform me immediately;

(4). I will contact you for distributor registration purposes. ** Order more than 26PV for free membership without paying membership fee of RM35 for WM/ RM40 for EM. Thanks for your co-operation.

[Utk memohon menjadi pengedar, sila

(1). Lengkapkan borang permohonan dengan maklumat yang diperlukan;

(2). Bank-in pembayaran anda ke dalam akaun MBB No. 164164001535;

(3). Maklumkan saya dengan kadar segera; (4). Saya akan menghubungi anda semula utk tujuan pendaftaran sebagai pengedar. ** Untuk menjadi ahli secara percuma tanpa perlu membayar yuran ahli RM35 utk WM/ RM40 utk EM, sila pesan produk yang melebihi 26PV.Terima Kasih atas kerjasama yang diberikan].
Have you or your spouse been a HEALTH BUILDERS distributor before? (Adakah Anda atau Pasangan anda pernah menjadi Pengedar HEALTH BUILDERS sebelum ini? : Yes (Ya) No (Tidak)

Membership Registration Fees (Yuran Pendaftaran Keahlian) : WM RM35.00 / EM40.00
Applicant's Name (Nama Pemohon):
IC No. (No. K/P):
Date of Birth (Tarikh Lahir)

Example (Contoh): 16-01-95
Sex (Jantina): Male (Lelaki) Female (Perempuan)
Race (Bangsa):
Postal Address in Full (Alamat Lengkap Surat Menyurat):
Email Address:
House Tel. No. (No. Telefon Rumah):
Handphone No. (No. Telefon Bimbit):
Name of Beneficiary - Husband/Wife/Family (Nama Pewaris - Suami/Isteri/Keluarga)
IC No. (No. K/P):
Date of Birth (Tarikh Lahir):
Sex (Jantina): Male (Lelaki) Female (Perempuan)
Race (Bangsa) :

Sponsor's Name (Nama Penaja) : Burhanuddin Saidin

Code No. (No. Kod) : 60300
Products Ordered (Produk yang dipesan) Note: Pls ensure the total PV is 26 and above (Sila pastikan jumlah PV adalah 26 dan ke atas)
Comment/Feedback (Komen/Maklumbalas)

Form provided by Freedback.

On-Line Forms

(A). ON-LINE REQUEST TO BUY PRODUCTS

Pls 1. Complete the form below with the required particulars;2. Bank-in the payment (pls include packaging & courier cost**) to my MBB account No. 164164001535;3.SMS me for shipping purposes.
** Packaging & Courier Cost 1-2 Items:- RM9 WM/RM12 EM; 3-4 Items:- RM12 WM/RM17 EM
Product Ordered (Produk Dipesan) ** Order more than 26PV plus RM8 Mktg Tools Package for free lifetime membership worth RM35 WM/ RM40 EM. Pesanan yang melebihi 26PV dan Mktg Tools Package (RM8) melayakkan anda menjadi ahli seumur hidup secara percuma yg bernilai RM35 WM/ RM40 EM)
Quantity (Kuantiti)
Name (Nama):
MyKad No. (Optional):
E-mail (E-mel):
Phone Number (Nombor Telefon):
Full Address (Alamat Lengkap):
Comment (Komen):

For further details, pls contact:-

Utk keterangan lanjut sila hubungi:-

 

BURHANUDDIN SAIDIN

6 Star Goji Manager

8, Jalan PJS 1/2B, Taman Perangsang,

46150 Petaling Jaya,

Selangor Darul Ehsan.

sburhan8amn@gmail.com

+6016-6596011

 

Click here to create your own form.




(B). ON-LINE REQUEST TO BECOME A DISTRIBUTOR

To apply as a distributor, please

(1). Complete the form below with the required particulars;

(2). Bank-in the payment to my MBB account No. 164164001535;

(3). Inform me immediately;

(4). I will contact you for distributor registration purposes. ** Order more than 26PV plus RM8 (WM); RM10 (EM) for mktg tools package for free membership without paying membership fee of RM35 for WM/ RM40 for EM. Thanks for your co-operation.

[Utk memohon menjadi pengedar, sila

 (1). Lengkapkan borang permohonan dengan maklumat yang diperlukan;

(2). Bank-in pembayaran anda ke dalam akaun MBB No. 164164001535;

(3). Maklumkan saya dengan kadar segera; (4). Saya akan menghubungi anda semula utk tujuan pendaftaran sebagai pengedar. ** Untuk menjadi ahli secara percuma tanpa perlu membayar yuran ahli RM35 utk WM/ RM40 utk EM, sila pesan produk yang melebihi 26PV dan mktg tools (RM8 (WM); RM10 (EM) .Terima Kasih].
Have you or your spouse been a HEALTH BUILDERS distributor before? (Adakah Anda atau Pasangan anda pernah menjadi Pengedar HEALTH BUILDERS sebelum ini? : Yes (Ya)
No (Tidak)

Membership Registration Fees (Yuran Pendaftaran Keahlian) : WM RM35.00 / EM40.00
Applicant's Name (Nama Pemohon):
IC No. (No. K/P):
Date of Birth (Tarikh Lahir)

Example (Contoh): 16-01-1995
Sex (Jantina): Male (Lelaki)
Female (Perempuan)
Race (Bangsa):
Postal Address in Full including Postcode(Alamat Lengkap Surat Menyurat termasuk Poskod):
Email Address:
Handphone No. or House Tel. No. (No. HP atau No. Telefon Rumah):
Name of Beneficiary - Husband/Wife/Family (Nama Pewaris - Suami/Isteri/Keluarga)
IC No. (No. K/P):
Date of Birth (Tarikh Lahir):
Sex (Jantina): Male (Lelaki)
Female (Perempuan)
Race (Bangsa) :

 

Sponsor's Name (Nama Penaja) : Burhanuddin Saidin

Code No. (No. Kod) : 60300
Products Ordered (Produk yang dipesan) Note: Pls ensure the total PV is 26 and above (Sila pastikan jumlah PV adalah 26 dan ke atas)
Comment/Feedback (Komen/Maklumbalas)

For further details, pls contact:-Utk keterangan lanjut sila hubungi:-BURHANUDDIN SAIDIN8, Jalan PJS 1/2B,Taman Perangsang,46150 Petaling Jaya,Selangor Darul Ehsan.sburhan8amn@gmail.com+6016-6596011

Create a web form here

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