Request For Free CD: Remission" and "CD252 Loss of A Loved One" As His Gift To Anyone Who Is in Genuine Need of It

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Request for free CD

The creator of InnerTalk, Eldon Taylor has donated three InnerTalk Mind Training CD titles CD5500 Cancer
Remission and CD252 Loss of a Loved One as his gift to anyone who is in genuine need of it.
Each of the CD is sold at RM 139.90 but we have decided to give it FREE. This is an educational property only
and no claims are made. A shipping charge will be applied when ordering this CD to cover our costs of sending
the product to you by courier, the cost of which is RM 15.00 per CD within Peninsular Malaysia, and RM18 for
East Malaysia.
As a respect for other customers who would request these products, please only order the CD for genuine need
and a special request form (as at the following) must be filled and submitted for our consideration. Only one
copy per customer please. Thank you.
Name

: _________________________________

Address

: __________________________________________________________________
__________________________________________________________________
__________________________________________________________________

Telephone: _____________________
Email

Hand phone: _______________________

: _________________________________

I would like to request for a free CD titled: _________________________________________


for myself / for _____________________________(name of the person requesting the CD)
Reason of requesting for this CD:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Would you use this free CD frequently?

___________________
Signature
Approved by: ___________________
Date: __________________________

Yes ( )

No ( )

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