What's your first name? *

Hey {{answer_RPdr}}, nice to meet you.
What's your last name? *

What is your mailing address? *

We have to know where to send you free stuff!
Which country do you live in? *

What's your phone number? *

Please Include Country Code if outside US/Canada
Are you using any Lil Helper Products right now? If yes, let us know what you are using.

Would you be interested in learning how to talk about Lil Helper products to your friends/family? *

What would be your preferred way of learning to talk about Lil Helper?

What would be your main reason to recommend Lil Helper to your friends & family?

Do you have any other thoughts about the Ambassador program?

Speak freely, all your comments will be reviewed by Mohammed (CEO, LHD) & will be used as a guide stone for making this program better.
We will be in touch soon!
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