MEMBERSHIP GUIDE

Application

Holistic study group for cancers, diabetes & incurable diseases

Membership Application Form

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Member Information

Member Name
Address
Surgery History

Disease Confirmation Letter: Clinic Charts (Copies, Photos)

Link to Membership Policy

I fully understand and agree to the membership policy.

Clear Signature

Pay via Mail

If you prefer to pay your membership fee by personal cheque, certified check or money order, follow these steps:

1. "Pay to" information: JSD CANDO HEILENE PHARMA INC.
2. Make sure the address is correct. Address your cheque to:

JSD CANDO HEILENE PHARMA INC.
565 Wilson Ave W114,
North York, ON M3H 0C6

Products will be shipped within ten business days of receiving the cheque.

Authorizations

Initial Payment
Special Membership
Special membership $500,000 + TAX(13%)
Silver Membership
Silver Yearly Plan $15,000 +TAX(13%)
One Bottle Plan $1,040 +TAX(13%)
Gold Membership
Gold Yearly Plan(18 Bottles) $60,000 (TAX Including)
One Bottle Plan (20 days) $3,000 +TAX(13%)
$0.00