Nutrition Ebook Order Form

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Hello :)

Please fill in the form below to order your Ebook(s). Once payment is received, an order confirmation message will be sent to you.

The Ebook will be sent out to you within 48 hours after payment has been received.

Email *

Date:

YYYY

Full Name *

Mobile number *

Please select the product(s) you want to purchase: *

Weight-Loss Ebook: 24 reasons you're not losing weight - Rs 400

Get Your Kid To Eat Healthy: A 12-step guide (4 recipes included) - Rs 1000

Healthy Kids' Recipe (23 easy recipes) - Rs 500

Ebook combo: Get Your Kid To Eat Healthy: A 12-step guide + Healthy Kids' Recipe - Rs 1200

Required

Choose your payment option: *

1: Pay via internet banking using the following bank details: Bank - MCB Bank, Account holder - Anya Benoit, Account number: 000443432627

2: Pay via Juice - pay a mobile number on 57558419 or to a bank account - Acc no. 000443432627

3: Pay by cash - dropping the cash in my physical office - 015, ground flood Ebene Junction, Ebene or in an envelope (sliding it under the door if I am not in office). I am based in office 015, Ground Floor in Ebene Junction Building, Ebene.

Once the product is purchased, it cannot be refunded or exchanged. *

I agree

Would you like me to include you on my email list and send you updates on new products and services? All information provided here will be kept confidential. *

Yes

THANK YOU FOR YOUR SUPPORT!

We would be very happy to get feedback from you once you try the tips and recipes. Kindly note that only once payment is received that your order will be confirmed.

Thank you,
Anya

A copy of your responses will be emailed to the address you provided.

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