JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SAMPLE SALE
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
50 lbs down!! I’ve maintained under my pregnancy weight for 2 years!
Which sampler pack would you like?
*
Skinny coffee - Burns fat (4 day meal replacement )
Cool Sculpting Tummy Wrap (72 HR treatment)
Variety Coffee (4 day meal replacement)
B12 energy pixie stick (5 days)
White Mocha Cold Brew (4 day meal replacement)
Required
Or would you rather…
Get 1 bag for $5015 days worth)
Get 2 bags for $81 (30 days worth)
Clear selection
MUST PAY NOW to CLAIM discount. $25 for sample pack and shipping is FREE
*
Venmo- @KarmekaAllen
Cashapp- $KarmekaShaleigh
Paypal -
shaleigh1992@gmail.com
Apple Pay 404-717-3287
How did you pay?
*
Cashapp
Paypal
Venmo
Apple Pay
Required
Name, Shipping address, email, phone number
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report