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PLANTA PURA ASIA
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Please print this form and fill it. Send the form with a $1.3 postage return envelope to Morrison Hill PO BOX 47096, Hong Kong. We will give away samples you desired. There are Two hundred quotas per month. Don't wait !
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©ó ±ý ¯Á ¨ú ªº ²£ «~ «e ¥[ ¤W Xƒ¤ ¸¹ ¡CPlease put a tick in the box next to the product desired
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Glucan Day Cream ¨¾ ÅÎ ¤é Á÷ „Q„LGlucan Night Cream §Ü ½K ±ß Á÷„Qƒn
Glucan Eye Serum ²´ ³¡ ºë µØ ¯À „Q Glucan Neck Serum ÀV ³¡ ºë µØ ¯À„Q
Glucan Cleanser ¼ä ± ¨Å ²G(
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Name
©m ¦W : _________________Sex
©Ê §O : _________________Age
¦~ ÄÖ : _________________Mailing Address
¦a §} : _______________________________________________________________________________
Tel
¹q ¸Ü : _______________________________________
1st December 1998
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