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Please note that Vouchers and Beauty Rands may not be used towards this offer1. Do you prefer a foamy Face Wash or Cleansing Milk?*Select your preference from the dropdownFace WashCleansing Milk2. Is your skin dry, oily, normal or combination?*Select your skin type from the dropdownDryOilyNormalCombinationIs your T-panel oily?YesNoAre your cheeks dry or normal?DryNormal3. Do you have any pimples?*Select from the dropdownYesNoHow often in a month do you get pimples?*Select from the dropdownOnce a monthTwice a monthThree times or more a monthEvery day5. Do you have any scarring or pigmentation on your face?*Select from the dropdownYesNoPlease fill in your personal details below:1. Name:* Select from the dropdownMrs.MissMs.Mr. Title First name Last name 2. Mobile number:*3. Alternative contact number:4. Email address:* 5. Which bank do you bank with?*FNBStandard BankABSACapitecNedbankOtherNo Account Δ This iframe contains the logic required to handle Ajax powered Gravity Forms.
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