21 day challenge

21 day BODY TRANSFORMATION challenge

WIN YOUR SHARE OF R35000 (each for male category and female category)
If you are currently using Herbalife Nutrition please get back to your distributor for assistance. Otherwise Kindly complete this Pre -Registration form for the next challenge

Our Herbalife 21 day challenge offers Easy to prepare Nutritional Shakes by Herbalife, Easy Meal Plans, Easy Snack list & Home Workout Videos. ALL DONE VIA TELEGRAM so you can Join from anywhere in the WORLD. Link to purchase your R50 entry will be sent to you when form is completed. Your Herbalife program, bathroom scale and the TELEGRAM app is all you need to join (once this form is completed I will be in touch with program options to suit your budget)
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Contact Number*
Whatsapp Number if different from contact number.
E-mail*
Gender*

MaleFemale
Where did you hear about the Challenge*

FacebookFlyerFamily or Friend referred meOther
If a friend, what is their name?
Have you attended a 21 day challenge before*

YesNo
If Yes who was your Coach
In order for us to find out what your Goals are, please specify below what you are expecting from this challenge, and why?
What are your goals?*

Lose weightGain weightIncrease energyBusiness Opportunity
Why is this goal important to you?
Are you currently on any nutritional or meal replacement programme which you intend to use in conjuction with this challenge?*

NoneUSNEvoxWeigh LessHerbalifeOther
If other, please specify:
Challengers have way more success with accountability partners. So Please list 3 friends or family who you think would benefit from joining you for this challenge.

Please list Name and contact number.

Eg: Pamela McLean, +447497631383
Friend 1 Name*
Friend 1 WhatsApp *
Friend 2 Name *
Friend 2 WhatsApp *
Friend 3 Name *
Friend 3 WhatsApp *
NOW THAT THE HARD WORK IS DONE

CLICK THE LINK BELOW TO Pre-register AND I WILL BE IN TOUCH WITH YOU
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21 day BODY TRANSFORMATION challenge

If you are currently using Herbalife Nutrition please get back to your distributor for assistance. Otherwise Kindly complete this Pre -Registration form for the next challenge