Feeling older? Feeling older?

Want to reverse the aging process? Want to reverse the aging process?
I can help you! I can help you!
Name: ____________________ Ph#: ______________ Name: ____________________ Ph#: ______________
Email: ___________________________ Male Female Email: ___________________________ Male Female
Age: 18/19 20+ 30+ 40+ 50+ 60+ 70+ 80+ Age: 18/19 20+ 30+ 40+ 50+ 60+ 70+ 80+
Please rate on a scale of 1 - 10 (10 = need a lot of help) Please rate on a scale of 1 - 10 (10 = need a lot of help)

_____ Energy _____ Sleep _____ Weight Loss _____ Energy _____ Sleep _____ Weight Loss
_____ Stamina _____ Strength _____ Libido _____ Stamina _____ Strength _____ Libido
_____ Enhanced Focus _____ Reduce Wrinkles _____ Enhanced Focus _____ Reduce Wrinkles
_____ Healthier Skin _____ Joint Mobility _____ Healthier Skin _____ Joint Mobility
_____ Aches/Pains _____ Muscle Definition/Mass _____ Aches/Pains _____ Muscle Definition/Mass
_____ Improved Vision _____ Improved Flexibility _____ Improved Vision _____ Improved Flexibility
_____ Mood Stabilization _____ Mood Stabilization
_____ Healthier Hair/Less Gray Hair/Less Hair Loss _____ Healthier Hair/Less Gray Hair/Less Hair Loss
_____ PMS/Perimenopausal/Menopausal Symptoms _____ PMS/Perimenopausal/Menopausal Symptoms

What if I told you that you could make additional money, What if I told you that you could make additional money,
would you be interested? YES would you be interested? YES

Feeling older? Feeling older?

Want to reverse the aging process? Want to reverse the aging process?
I can help you! I can help you!
Name: ____________________ Ph#: ______________ Name: ____________________ Ph#: ______________
Email: ___________________________ Male Female Email: ___________________________ Male Female
Age: 18/19 20+ 30+ 40+ 50+ 60+ 70+ 80+ Age: 18/19 20+ 30+ 40+ 50+ 60+ 70+ 80+
Please rate on a scale of 1 - 10 (10 = need a lot of help) Please rate on a scale of 1 - 10 (10 = need a lot of help)

_____ Energy _____ Sleep _____ Weight Loss _____ Energy _____ Sleep _____ Weight Loss
_____ Stamina _____ Strength _____ Libido _____ Stamina _____ Strength _____ Libido
_____ Enhanced Focus _____ Reduce Wrinkles _____ Enhanced Focus _____ Reduce Wrinkles
_____ Healthier Skin _____ Joint Mobility _____ Healthier Skin _____ Joint Mobility
_____ Aches/Pains _____ Muscle Definition/Mass _____ Aches/Pains _____ Muscle Definition/Mass
_____ Improved Vision _____ Improved Flexibility _____ Improved Vision _____ Improved Flexibility
_____ Mood Stabilization _____ Mood Stabilization
_____ Healthier Hair/Less Gray Hair/Less Hair Loss _____ Healthier Hair/Less Gray Hair/Less Hair Loss
_____ PMS/Perimenopausal/Menopausal Symptoms _____ PMS/Perimenopausal/Menopausal Symptoms

What if I told you that you could make additional money, What if I told you that you could make additional money,
would you be interested? YES would you be interested? YES