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AAVARION APPLICATION
First name
Last name
ARE YOU IN PAIN?
*
Required
Yes.
Yes, and often.
Sometimes.
Off and On..
What are you hoping to gain from taking AAVARION?
*
Required
More Energy
Frequent Activity in Bed
Less pain while doing daily movements
To feel ALIVE again.
Are you currently medicated?
*
Required
Yes
No
I am, but I'm bad at remembering to take my meds.
Does Curio Cosmo make you feel safe?
*
Required
Yes! He's what drew me into AAVARION
No.
What part of Maddox are you located in?
*
Required
West Zion
Oakwood (West Zion)
East Zion
South Zion (Inside Limit)
South Zion (Outside Limit)
Central Zion
Zion Outskirts
Tundra
Dakota
Further reaches (Lazlo, North, Outer Perimeter)
What type of AAVARION are you intersted in?
*
Required
AAVARION VL 1 (Energy & Pain Relief)
AAVARION VL. 2 (Sleep & Pain Relief)
AAVARION VL. 3 (Pain Relief)
How'd you hear about AAVARION?
*
Required
Friends
Variant Labs AD
Variant Labs Banner
Morton Lakesway AD
Can you get past the color?
*
Required
Yeah, Orange is a decent color
I'll do my best.
Please list why you think AAVARION is right for you.
APPLY FOR AAVARION
Thanks for submitting!
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