$10K Challenge Registration

$10K - 21 DAY TRANSFORMATION CHALLENGE

$10,000 POT
Are you ready ready ready... for transformation?

Thank you for allowing me to be a part of your journey. Completing this form will help me to get to know you better & the goals you desire to accomplish. Once the form is submitted, I will reach out to you within the next 24 hours. You will hear directly from me Coach Arlene (aka Auntie)
NAME

First NameLast Name
PHONE NUMBER
Format: (000) 000-0000.
E-MAIL
If you were referred by a friend, please list their name below so I can thank them.
HAVE YOU BEEN A HERBALIFE MEMBER BEFORE ?
How many meals do you have daily?
HOW CAN I SUPPORT YOU (What is your goal)?
DO YOU HAVE A BUDGET IN MIND?
Who do you know that would love to join this challenge with you? Please list their name & number below and I will reach out to them.
"Friends that get fit together become #FitFriends"
Thank you for completing this form.
I will get back to you as soon as I review it so we can being wokring towards your goals.

COACH ARLENE (AKA AUNTIE)
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$10K - 21 DAY TRANSFORMATION CHALLENGE