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Fill in the form below to nominate 35 of your friends and family:A nominated lady should earn more than R10 000 per month and must be between the ages of 25 and 65.Your name:* Your first name Your surname Your contact number:*1. Your referral's name:* First name 2. Your referral contact number:*3. Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 1 entry into the R30 000 competition, and are 34 names away from a free Fragrance worth R804!1. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 2 entries into the R30 000 competition, and are 33 names away from a free Fragrance worth R804!2. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 3 entries into the R30 000 competition, and are 32 names away from a free Fragrance worth R804!3. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 4 entries into the R30 000 competition, and are 31 names away from a free Fragrance worth R804!4. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 5 entries into the R30 000 competition, and are 30 names away from a free Fragrance worth R804!5. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 6 entries into the R30 000 competition, and are 29 names away from a free Fragrance worth R804!6. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 7 entries into the R30 000 competition, and are 28 names away from a free Fragrance worth R804!7. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 8 entries into the R30 000 competition, and are 27 names away from a free Fragrance worth R804!8. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 9 entries into the R30 000 competition, and are 26 names away from a free Fragrance worth R804!9. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 10 entries into the R30 000 competition, and are 25 names away from a free Fragrance worth R804!10. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 11 entries into the R30 000 competition, and are 24 names away from a free Fragrance worth R804!11. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 12 entries into the R30 000 competition, and are 23 names away from a free Fragrance worth R804!12. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 13 entries into the R30 000 competition, and are 22 names away from a free Fragrance worth R804!13. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 14 entries into the R30 000 competition, and are 21 names away from a free Fragrance worth R804!14. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 15 entries into the R30 000 competition, and are 20 names away from a free Fragrance worth R804!15. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 16 entries into the R30 000 competition, and are 19 names away from a free Fragrance worth R804!16. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 17 entries into the R30 000 competition, and are 18 names away from a free Fragrance worth R804!17. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 18 entries into the R30 000 competition, and are 17 names away from a free Fragrance worth R804!18. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 19 entries into the R30 000 competition, and are 16 names away from a free Fragrance worth R804!19. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 20 entries into the R30 000 competition, and are 15 names away from a free Fragrance worth R804!20. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 21 entries into the R30 000 competition, and are 14 names away from a free Fragrance worth R804!21. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 22 entries into the R30 000 competition, and are 13 names away from a free Fragrance worth R804!22. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 23 entries into the R30 000 competition, and are 12 names away from a free Fragrance worth R804!23. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 24 entries into the R30 000 competition, and are 11 names away from a free Fragrance worth R804!24. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 25 entries into the R30 000 competition, and are 10 names away from a free Fragrance worth R804!25. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 26 entries into the R30 000 competition, and are 9 names away from a free Fragrance worth R804!26. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 27 entries into the R30 000 competition, and are 8 names away from a free Fragrance worth R804!27. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 28 entries into the R30 000 competition, and are 7 names away from a free Fragrance worth R804!28. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 29 entries into the R30 000 competition, and are 6 names away from a free Fragrance worth R804!29. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 30 entries into the R30 000 competition, and are 5 names away from a free Fragrance worth R804!30. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 31 entries into the R30 000 competition, and are 4 names away from a free Fragrance worth R804!31. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 32 entries into the R30 000 competition, and are 3 names away from a free Fragrance worth R804!32. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 33 entries into the R30 000 competition, and are 2 names away from a free Fragrance worth R804!33. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 34 entries into the R30 000 competition, and are 1 name away from a free Fragrance worth R804!34. Would you like to refer another lady to earn an extra entry into the competition?* Yes No Your referral's name:* First name Your referral contact number:*Your relationship to this lady:*She is myAcquaintanceAuntClientColleagueCousinDaughterDaughter-in-LawFamily-in-LawFriendGranddaughterGrandmotherMotherMother-in-LawNiecePartnerSisterSister-in-LawOtherShe is my: Well done! You have earned 35 entries into the R30 000 competition, and a free Fragrance worth R804! We will be couriering your Fine Fragrance to you within the next 5-7 days! Δ
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