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Please note that all information provided by you will be treated as confidential
Name & Surname
Do you have any Medical Conditions?
Would you like to lose weight?
If yes, how much weight do you want to lose?
1 - 10 kgs
11 - 20 kgs
21 - 30 kgs
31 - 40 kgs
41 - 50 kgs
What products would you like to order?
1 x Slimroast Optimum Coffee (1 Month Trial) R940
Slimroast Optimum Cocoa (2 sachets) R100
Prevail Trim (19 sachets) R950
January Special (1 x Gourmet Black + 1 x Gourmet Latte) R1200
Sample Pack 1 (1 x Sachet of 4 Best Sellers) R165
Sample Pack 2 (2 x Sachets of 4 Best Sellers) R330
Gourmet Black (30 sachets) R750
Gourmet Mocha (15 sachets) R670
Gourmet Latte (20 sachets) R700
Gourmet Hot Cocoa (15 sachets) R670
Premium Organic Gourmet King of Coffee (25 sachets) R850
Café Supreme (20 Sachets) R750
Green Tea (25 Sachets) R750
Red Tea (25 Sachets) R750
Nutritional Shake Mix (Creamy Vanilla) R1300
Nutritional Shake Mix (Rich Chocolate) R1300
Shake Sample Pack - Vanilla (9 sachets + 1 OGX Shaker) R550
Organic Ganoderma Lucidum (90 capsules) R1005
Ganoderma Lucidum Mycelium (90 capsules) R1005
Organic Spore Powder (90 capsules) R1408
If you would like more of one product, please specify how many of each product you would like to order
I acknowledge that all above-mentioned information is true and accurate
I understand that delivery may take up to 10 working days
I understand that there is a Nationwide Courier Fee of R100
An Invoice with Banking Details will be sent to you via WhatsApp after we have received your order
Proof of Payment will confirm your order and is Non-Refundable
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