12 Day Power Detox Program Registration

12 Day Power Detox Program Registration

Revive, Restore and Rejuvenate Your Spirit, Soul & Body. Please read all the instructions carefully. The 12 Day Power Detox book includes Grocery List, Delicious Recipes and the Meal & Activity Plan, Devotional and link to join the Private Facebook Support Group. Book is now available on Amazon at www.tiny.cc/12DPDUSA
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Email Address:*
* Pls use email address you check often
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Please choose a Monday as your start date. Leave 1 week for Prep week before your start date. The 12 Day Devotional will be sent out beginning on your Monday start date. *

MonthDayYear
Choose a Monday Start Date
Lose WeightStart a new healthy eating habitGet more energy and feel happierImprove my emotional well-beingOther

On a scale of 1 to 10, how healthy is your diet? A Healthy Diet includes vegetables, fruits, whole grains and legumes. It limits highly processed and fast foods, fatty foods, refined grains and added sugar or salt. Below 5 is unhealthy.*

	1	2	3	4	5	6	7	8	9	10

1 is Not Healthy, 10 is Very Healthy

In the morningAfter lunchAll day longOther
Less than 4 hours4 to 6 hours7 hours or moreOther
YesNo
Every result counts, would you consider sharing your testimonial/ success story after the detox program. Link to use will be shared with you.*
Pls take a moment to add ade@itstimefitnessaz.com to your email address book so that you will receive the Welcome Email and Daily Devotionals in your inbox. Have you completed this step?*
Ade invited meA friend invited meSocial MediaInternet SearchOur websiteOther
Thank you for registering for the 12 Day Power Detox Program. We're looking forward to hearing your life changing results and success story.
The 12 Day Power Detox Book is now available for sale on Amazon.com at www.tiny.cc/12DPDUSA. After submiting this registration form, you will be directed to the download page to download the Meal & Activity Plan (bigger print) and find the link to join the Private Facebook Support Group to get support and accountability during the Program.
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