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Holistic Nutrition

WEIGHT LOSS CLASS - PARTICIPANT AGREEMENT

Print, Complete and send to Pam:  Fax 877.827.6865   Email shapeyoursuccess@earthlink.net.


WELLNESS CLUB     Weight Loss Class     Participant Agreement Form

 

Complete and Return

           

for Free Metabolic Analysis with

Pam Goldsmith

your personal coach

 

877.827.6865

 

I understand that the Wellness Club is having a Weight Loss Class for 8 weeks which

 

Select One:

 

Webinar (Your PC):

 

Begins On:

 

Ends On:

 
 

Local (Call for Directions.  877.827.6865)

 

Begins On:

 

Ends On:

 
 

I agree to attend for 8 weeks, meeting at the established time and date with the Host for the Presentations.

 

I acknowledge that I am under no obligation to use Herbalife products for this Club and that I can choose to use any program.  The Wellness Club Weight Loss Class is not responsible for any Herbalife product sales, claims, distributor or company responsibilities.

 

I,

 

agree to these terms on this.

 

Date:

 

Phone #:

 
 

Address:

    
 

Street

City

State

Zip

 

How did you hear about the challenge?

Newspaper

Friend 

Flyer 

Radio 

Other

 

Special Offer:  Bring 2 and Your Registration Fee is WAIVED.

Did You Bring A Guest?

 

If so, who:

 

If so, who:

 
 

Best Time to Reach You:

Day

AM

PM

 

Day Phone:

 

Night Phone:

 
 

Email Address:

 
 

Birthday:

 
 

Wellness Club and Weight Loss Class Rules

 

1.      The classes will be held for 8 weeks.

2.      Attendance of all 8 Weeks is strongly recommended

3.      Your Wellness Coach will be in contact with you vial mail and telephone once per week (unless you wish additional contact and support)

4.      Have Fun with the WC WLC!!

 

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