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Product Demands Check-in Form
First name
*
Last name
*
Email
*
Phone
Country
*
Zip Code of your Location
*
Purpose of Use
*
Family Use
Commercial Use
Other
User Profile - who will use iRelaxBot
*
Elders > 65 years
Adults 36 ~ 65 years
Young Adults 18 ~ 35 years
Youth 10 ~ 17 years
You most fitting occupation for daily routine
*
Long hour Desk-Based work >6 hours
Physically Demanding work
On-Feet active work
Driving-intensive work
Mixed Activity work
High physical performance-based work
Retired
Student
Remote/ Home based work
I am interested in following functions
*
Spine Health
Cardiovascular Health
Anti-Aging
Better Sleep
Diabetes
Weight & Shape Management
Other
Timeline to buy
*
< 1 month
1 ~ 3 months
4 ~ 6 months
7 ~ 12 months
> 12 months
Budget to buy
*
< 5000 US$
5000 ~ 10000 US$
10001 ~ 20000 US$
20001 ~ 30000 US$
> 30000 US$
Payment Approach
*
Check
Wire / Bank Transfer
Credit Card
Others
Type of Payment Account
*
Personal Account
Business Account
Submit
Tienda de productos
Servicio de reservas
Sobre nosotros
Testimonios
Alianza y recompensas
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