SHAKLEE Order Form
Name *
Phone Number *
Email *
Trial Pack Selection *
 Trial Pack Set A (RM80) 
 Trial Pack Set B (Breastfeeding Basic) (RM80) 
 Trial Pack Set B1(Breastfeeding Basic) (RM130) 
 Trial Pack Set C (RM 100) 
 Trial Pack Set D (RM 80) 
 Trial Pack Set E (Breastfeeding with Calcium )(RM 140) 
 Trial Pack Set F(RM70)  
  Trial Pack Set G(RM80)  
 Trial Pack Set H(RM70) 
 PREGGY MAMA FIRST TRIMESTER SET- (RM130)  
  PREGGY MAMA SECOND & THIRD TRIMESTER SET (RM170) 
 Trial Pack Breastfeeding Medium (Set B + ESP) (RM210) 
 Breasfeeding Optimum 3M (Set B + Calcium + ESP) RM260 
Kalau nak yang lain dari trial pek yang sedia ada ni...you may choose minimum 3 jenis vitamin .email to me the detail
Add On Vitamin
 30's Vitamin E RM37  
 30's Omega RM45  
 60's Lecitin RM30  
 30's vitamin C sustained release 500mg C RM15 OFFER  
 10 sticks Nutriferon (immune booster) RM70  
  60's Alfalfa RM10  
Harga Add On adalah dgn pembelian Trial Pack
Checkboxes
 Energizing Soy Protien RM121(WM)/ RM124 (EM)  
 Performance Drink RM66(WM)/ RM70 (EM) 
 Meal Shake RM91(WM)/ RM97 (EM)  
 1 bottle Alfalfa (330) RM43/)/ RM45 (EM)  
 1 bottle Oste(cal/mag) RM49 / RM52 (EM) 
 1 bottle Lecitin RM42 / RM44 (EM) 
 1 bottle Omega Guard RM10/ RM112 (EM) 
 1 bottle Vitamin E RM119 / RM123 (EM) 
 1 bottle Vitamin C RM74 / RM78 (EM) 
 1 bottle Vitalea (multivit) RM71/ RM75 (EM)  
 1 bottle B Complex RM43 / RM45 (EM) 
 1 pek Nutriferon (30sticks) RM145 / RM153 (EM) 
 1 bottle zinc RM27 / RM28 (EM) 
For Full Pack, postal charge RM10 (WM) dan RM20 (EM) - Flat rate
Postage for Fullpacks (Please include in total purchase/payment)
 Semenanjung Malaysia -RM10 
 Sabah Sarawak - RM20 
Total Payment (Jumlah Bayaran) *
Please state time if using ATM cash deposit
Other Request (Please specify)
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