tag:blogger.com,1999:blog-36152720224766114152011-07-28T19:57:43.577-07:00Herbalife Kota Kemuning Shah Alam, Bandar Puteri Puchong: Call/SMS +6012-2599138Herbalife Malaysia Wellness Coachhttp://www.blogger.com/profile/07368396892602382724noreply@blogger.comBlogger11100tag:blogger.com,1999:blog-3615272022476611415.post-49924605145163027722010-06-22T02:29:00.003-07:002010-06-27T10:13:33.966-07:00<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://4.bp.blogspot.com/_sLnYEuHTrdc/TCNdVyULjZI/AAAAAAAAAB0/zQlaAifNqJM/s1600/man-testimonial.jpg"><img style="display: block; margin: 0px auto 10px; text-align: center; cursor: pointer; width: 520px; height: 394px;" src="http://4.bp.blogspot.com/_sLnYEuHTrdc/TCNdVyULjZI/AAAAAAAAAB0/zQlaAifNqJM/s400/man-testimonial.jpg" alt="" id="BLOGGER_PHOTO_ID_5486331399932448146" border="0" /></a><br />我是Ah Man, 马来西亚康宝莱的健康管理教练. 过去十年我是一位霸型超级市场的主管. 因为长期日夜颠倒和长时间工作的关系, 导致我有精神不足, 黑眼圈的问题. 因为老婆有产品的需要而透过网络认识我的教练, Kenny &amp; Eunice, 我们简单相信并开始使用康宝莱的产品. 在认真使用营养奶昔来代替我的传统早餐之下, 我改善了黑眼圈和精神不足的问题. 更棒的是, 我的腰围瘦了两寸, 大 肚腩终于不见了! 感谢康宝莱的细胞营养改善我健康的同时并改变我的人生！请联络: +6012-2599138<br /><br /><table border="0" width="500"><tbody><form action="http://www.shakebaby.com/blogspot/ahmanform.php" method="post"><tr> <td colspan="7" bg="#333333" style="color: rgb(51, 51, 51);"><div align="center"><span class="style1"><span class="Apple-style-span" style="color: rgb(204, 0, 0);"><b><span class="Apple-style-span" style="font-size:large;">您的个人资料</span></b></span></span></div></td> </tr> <tr> <td width="1"> </td> <td>姓名</td> <td colspan="4"><input name="name" id="name" type="text"></td> <td width="10"> </td> </tr> <tr> <td> </td> <td>年龄</td> <td colspan="4" valign="top"><select name="age" id="age"> <option value="Below 18">Below 18</option> <option value="18 - 25" selected="selected">18 - 25</option> <option value="26 -35">26 - 35</option> <option value="36 - 45">36 - 45</option> <option value="46 - 55">46 - 55</option> <option value="56 - 65">56 - 65</option> <option value="Above 65">Above 65</option> </select></td> <td> </td> </tr> <tr> <td> </td> <td>性别</td> <td colspan="4"><input name="gender" value="Female" checked="checked" type="radio">女性 <input name="gender" value="Male" type="radio">男性</td> <td> </td> </tr> <tr> <td> </td> <td>地址</td> <td width="158"><input name="address" id="address" type="text"></td> <td width="8"> </td> <td width="46">城市</td> <td width="158"><input name="city" id="city" size="15" type="text"></td> <td> </td> </tr> <tr> <td> </td> <td>区域</td> <td><select name="state" id="state"> <option value="Kedah">Kedah</option> <option value="Perlis">Perlis</option> <option value="Penang">Penang</option> <option value="Perak">Perak</option> <option value="Wilayah Persekutuan" selected="selected">Wilayah Persekutuan</option> <option value="Selangor">Selangor</option> <option value="Negeri Sembilan">Negeri Sembilan</option> <option value="Melaka">Melaka</option> <option value="Johor">Johor</option> <option value="Kelantan">Kelantan</option> <option value="Pahang">Pahang</option> <option value="Terengganu">Terengganu</option> <option value="Sabah">Sabah</option> <option value="Sarawak">Sarawak</option> <option value="Others">Others</option> </select></td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td>电邮</td> <td><input name="email" id="email" type="text"></td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td>联络号码</td> <td><input name="contact" id="contact" type="text"></td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td>您的语言</td> <td colspan="4"><select name="language" size="1" multiple="multiple" id="language"> <option value="English" selected="selected">英文</option> <option value="Mandarin">中文</option> <option value="Cantonese">广东话</option> <option value="Malay">马来文</option> <option value="Others">其它</option> </select></td> <td> </td> </tr> <tr> <td> </td> <td>高度</td> <td><input name="height" id="height" size="5" type="text">公分</td> <td> </td> <td>重量</td> <td><input name="weight" id="weight" size="5" type="text">公斤 </td> <td> </td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td colspan="7" bg="" style="color: rgb(51, 51, 51);"><div align="center"><span class="Apple-style-span" style="color: rgb(204, 0, 0);"><b><span class="Apple-style-span" style="font-size:large;"><br />附加资料</span></b></span></div></td> </tr> <tr> <td> </td> <td colspan="5"><b>请问您如何认识我的网站?</b></td> <td> </td> </tr> <tr> <td> </td> <td colspan="2"><label><input name="source" id="source" value="search engine" type="checkbox">Google/Yahoo!</label></td> <td> </td> <td colspan="2"><input name="source" id="source" value="friends" type="checkbox">朋友</td> <td> </td> </tr> <tr> <td> </td> <td colspan="2"><label><input name="source" id="source" value="advertisement" type="checkbox">广告</label></td> <td> </td> <td colspan="2"><input name="source" id="source" value="distributor" type="checkbox">康宝莱直销商</td> <td> </td> </tr> <tr> <td> </td> <td colspan="2"><label><input name="source" id="source" value="flyer" type="checkbox">传单</label></td> <td> </td> <td colspan="2"><input name="source" id="source" value="others" type="checkbox">其它</td> <td> </td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td colspan="5"><br /><b>请问您是认真想要减重/增重和改健康吗?</b></td> <td> </td> </tr> <tr> <td></td><td colspan="5"><select name="seriousness" id="seriousness"> <option value="Yes I am!" selected="selected">是!我是认真的!</option> <option value="No I am not!">不是!我不是认真的!</option> <option value="Just Curious">只是好奇</option> </select><br /></td> <td> </td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td colspan="5"><b><br />请问您想减/增几公斤?</b></td> <td> </td> </tr> <tr> <td> </td> <td colspan="5"><select name="weighttolose" id="weighttolose"> <option value="1-3kg">1-3公斤</option> <option value="3-5kg">3-5公斤</option> <option value="5-10公斤" selected="selected">5-10公斤</option> <option value="10-15kg">10-15公斤</option> <option value="15kg and above">15公斤以上</option> </select></td> <td> </td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td colspan="5"><br /><b>请问您有尝试过什么方法?</b></td> <td> </td> </tr> <tr> <td> </td> <td colspan="5"><select name="tried" id="tried"> <option value="Slimming Center">减肥中心</option> <option value="Diet Pills">减肥药</option> <option value="Meal Replacement">代餐减肥</option> <option value="Exercise">运动</option> <option value="Others">其它</option> <option value="Nothing">没有</option> <option value="I tried it all!">我尝试所有方法!</option> </select></td> <td> </td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td colspan="5"><b><br />请问您为什么没有减肥/增重成功?</b></td> <td> </td> </tr> <tr> <td> </td> <td colspan="5"><select name="whyfail" id="whyfail"> <option value="No time">没有时间</option> <option value="No support">没有教练</option> <option value="Too expensive">太贵了</option> <option value="I am lazy!" selected="selected">我很懒惰!</option> </select></td> <td> </td> </tr> <tr> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> <td> </td> </tr> <tr> <td> </td> <td colspan="5"><label><br /></label><div align="center"><br /> <input name="Submit" value="提交" type="submit"><br /></div><br /></td> <td> </td> </tr></form></tbody></table><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/3615272022476611415-4992460514516302772?l=taiman-wellnesscoach.blogspot.com' alt='' /></div>Herbalife Malaysia Wellness Coachhttp://www.blogger.com/profile/07368396892602382724noreply@blogger.com0