JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
GA Order For Fibroid Treatment
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
Choose Your Preferred Treatment Plan
*
Regular Treatment ₦29,500( 2 bottles Of Ashoka Fibroid Natural Remover Herb)
Silver Treatment-₦39,500 ( 3 bottles Of Ashoka Fibroid Natural Remover Herb)
Super Treatment - ₦49,500( 4 bottles Of Ashoka Fibroid Natural Remover)
COMPLETE Package- ₦59,500( 6 bottles Of Ashoka Fibroid Natural Remover plus FREE 1 Pack Of Fibroid Tea PLUS FREE 5 packs of Yoni Pearl) HIGHLY RECOMMENDED
Email (Optional)
Your answer
Alternative Phone Number (Optional)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report