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Ahad, 28 Februari 2010

MEMBERSHIP FORM

By joining as members of Needa Boutique, you will be up to date on our latest production, enjoy our discount rate up to 50% and you will earn a money when you find your downline as a membership of Needa Couture!
Membership fees: RM30 for 2 years.
Payment can be made online. (Pls.sent to us the ref.no after payment has been made)
*Please read the Terms and Conditions before signing as Members.






Name:




Date Of Birth:




Email Address:




Phone No.:




Introducer membership no.(If any):




Address:




Address Line 2:




City:




State/Province/Region:




Postal/Zip Code:




Country:




How do you want to keep informed about our latest info:

By Email

By Sms



I hereby declare that i have read and agree to the Terms & Conditions made by Needa Couture.

I Agree






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