1506492 - Testing form.

Welcome! Place Your Order Now to Start your Healing Journey

Welcome to the first step of your healing journey. In order to fully assist you. Please fill out as much as you can. This form is strictly for collecting orders. Your information will not be shared and is only collected to help assist you with services. For more information on the privacy of this website, please go to jotform privacy statement.
Paperwork of Proof:

African Akaline Athetics recommends doctor's notes or any type of proof that you have these ailments. However, if you are not able to provide the information select "No" in the option below.

Testimony of Healing:

Your testimony will only be shared by your permission. If you do wish to share, please provide audio, video or paperwork and send it to michealhealingguide@gmail.com.

Once you fill out the form and send a screen shot of payment, We will reach back out to you with your preferred contact information you provide below.

Screenshots must show proof of payment, otherwise your form will be rejected and will take longer for you to receive your products. Do not send a screenshot of your debit card.

If you purchased capsules it will take 7 to 10 business days to ship out.

Please check your emails within 24 to 48 hours.
STOP! If you have any questions and/or concerns before starting this form please reach out to africanalkalineathleticsinfo@gmail.com.
How Did you Hear about African Alkaline Athletics
Old Submission field-Your Name
Name

First NameLast Name
Preferred email address for contact
example@example.com
Do you have paperwork and/or proof that you have these ailments? If yes, you will need to provide this to me. Either a screen shot or attachment. You can scratch out your name or any personal contact information.
1. Please upload your paperwork here. If your file is too big, we recommend that you take a screen shot of your paperwork with your phone and then upload it from there. If you are still having problems. Email us at africanalkalineathleticsinfo@gmail.com.

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2. Paperwork.

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3. Paperwork.

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Will you be able to provide a testimony after you are healed?
List your ailments.
The Healing Guide- The Alkaline Cell Regeneration Program
Sub Total for Healing Guide
Are you interested in purchasing capsules? Capsules are recommended because it goes hand in hand with your healing and serve as multi-minerals to nourish the cells by increasing natural energy levels, focus and controlling hunger cravings. It will take 7 to 10 business days to ship out. They are vegan with a size of 735mg.
1. Package Deal! For First Time Buyers!!!**To Reverse your diseases, We highly recommend this package.****
Choose which regeneration capsules. You Can only choose one,if you choose both. We will assume you want the AM capsules
Selected Amount for Package Deal
Sub total for Package deal
2. Regeneration AM Capsules- 100 capsules for $100
Enter the quantity amount for Regeneration AM Capsules if you are purchasing more than one bottle.
Example be "2" for two bottles, "3" for three bottles
Sub total for AM
3. Regeneration PM Capsules- 100 capsules for $100
Enter the quantity amount for Regeneration PM Capsules if you are purchasing more than one bottle.
Example be "2" for two bottles, "3" for three bottles
Sub total for PM
4. Full Body Colon Cleanse- 50 capsules for $75.
Enter the quantity amount for Full Body Detox Capsules if you are purchasing more than one bottle.
Example be "2" for two bottles, "3" for three bottles
Sub total for Full Body Detox
Provide Your Address
Total
Cashapp is the preferred payment. Submit payment to $Mikelegend25.

For paypal: paypal.me/michaelmoronta

If you use another form of payment please contact me at michaelhealingguide@gmail.com to get an alternative form of payment.
Disclaimer: You MUST send a screenshot of proof of payment in order to proceed with the process. Do not send a screenshot of your debt card. If the screen shot does not show proof of payment, your form will be rejected.

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By signing up you agree to my Disclaimer: The law requires me to state that I am NOT a medical doctor, nor am I claiming to be one. I can NOT cure you, I cannot save you. Only you can save you. I can only help you save yourself.
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Welcome! Place Your Order Now to Start your Healing Journey