ALPHA LIPID-Kolostrum yang terdapat didalam Alpha Lipid LifeLine adalah gred 10 (Terbaik didunia).

SELAMAT DATANG KE NEW IMAGE BORANG KEAHLIAN UNTUK ALPHA LIPID DAN SLIM DIETII. P/S :HUSBAND AND WIFE ARE UNDER THE SAME AGREEMENT.
MAIL NAME (as per ic no.)*
NEW IC NO.*
OLD IC*
SPOUSE NAME
SPOUSE IC NO.*
POSTAL ADDRESS*
CELL PHONE NO*
EMAIL ADDRESS
DIRECT DEPOSIT FOR COMMISSIONS	1-BANK ACCOUNT NUMBER 2-BANK BRANCH (CIMB-MAYBANK) 3-NAME ON ACCOUNT
HAVE YOU OR YOUR SPOUSE EVER BEEN A NEW IMAGE REPRESENTATIVE ?*	YES   NO
AMOUNT OF PAYMENT*	TRANSACTION SLIP
PAYMENT RECEIVED BY*	ONLINE BANKING   CASH DEPOSITE MACHINE
DATE OF PAYMENT*
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