It’s a LIFESTYLE change..
Welcoming the future you😍
Name
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First Name
Last Name
Phone Number
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Area Code
Phone Number
Email
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*example: Johndoe@gmail.com
Location
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Street Address
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City
State / Province
Postal / Zip Code
Have you ever consumed Herbalife products in the past?
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Yes
No
If so, when?
(Month/Year)
What is your goal?
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I want to lose weight
I want to tone up
I want to maintain
I want to gain
Other
When would you like to start?
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Month
-
Day
Year
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Do you engage in social media? If so, which one and what is your name?
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(Ex. Instagram@johndoe/Facebook@johndoe)
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