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<form id="pre-form" method="post" action="includes/email_send.php?product=longevityactivator">
  <div class="uk-margin">
    <input class="uk-input" type="email" placeholder="Email Address" required="" name="email">
  </div>
  <div class="uk-grid uk-grid-small">
    <div class="uk-width-1-2">
      <input class="uk-input" type="text" placeholder="First Name" required="" name="first_name">
    </div>
    <div class="uk-width-1-2">
      <input class="uk-input" type="text" placeholder="Last Name" required="" name="last_name">
    </div>
  </div>
  <div class="uk-margin">
    <input class="uk-input" type="phone" placeholder="Phone" required="" name="phone">
  </div>
  <div class="uk-margin text-center">
    <label><input class="uk-margin-remove-top uk-checkbox required-check" type="checkbox" required=""> <span class="text-sm">By submitting this form I accept the
        <a href="pdf/release_agreement.pdf" target="_blank">Media Release Agreement</a>.</span></label>
  </div>
  <div class="uk-margin">
    <button type="button" class="w-full leading-10 text-xl submit-form text-white uppercase poppins bg-blue-800 py-1 shadow-dark">Get My Free Product</button>
    <div class="error"></div>
  </div>
</form>

Text Content

Get 2 FREE Bottles of Longevity Activator®

NO Shipping Charges, NO Hidden Fees, NO Credit Card Required!



Below are the requirements to qualify for our promotion:

 * Have actively used the product for 21 days or more to ensure you have noticed
   changes in your health
 * Agree to send us your experiences with the product via video (webcam or
   smartphone required)
 * Limited to one review across Zenith Labs® products
 * Must be an active customer
 * Please allow 2 to 3 weeks for delivery
 * Only available to customers in the U.S.A. & Canada

Are you using a smartphone or device with a webcam?

Yes
No

Please visit this page with a smartphone or device with a webcam.
Click here to start over.

Share your experience with Longevity Activator® and get 2 FREE bottles*

*CONDITIONS APPLY: Must be an active customer. Limit two free 30-day supply of
Longevity Activator® across any Zenith Labs® products. Offer only valid for
orders placed within the last 6 months via authorized seller. To qualify, you
agree to share your experience with Zenith Labs® after taking the product for at
least 21 days, via video. Void where prohibited, orders will be validated prior
to shipping free samples.

Claim Your FREE
Longevity Activator®!

Fill this form to receive Free Products*.
Offer Limited to Existing Customers.
Use the same details when placing the order

By submitting this form I accept the Media Release Agreement.
Get My Free Product


Share Your Testimonial With Us!



Frequently Asked Questions

 * Is it really FREE?
   Yes, it is absolutely free. Both product and shipping costs are on us.
 * So, what is the catch? Do I have to do something?
   We simply ask that you share your experience with us via a brief video. This
   will help us improve our customer’s experiences or product formulations.
 * What are the conditions to qualify for the promotion?
   This offer is only valid for active customers who bought the product and have
   not refunded it.
 * How long will it take to receive my FREE Bottle?
   We will ship the product within 48 hours. You will receive a confirmation
   email with the tracking details and will receive the product within 7 to 10
   business days.

Support@ZenithLabs.com

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