Registration form---Contest prep coaching --- Contest prep seminar---Personal Fitness Coaching
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Male or Female
*
Male
Female
Have you competed before?
Yes
No
Class of competiton
Bodybuilding
Figure
Fitness
Bikini
Physique
Classic Physique
Time frame. When are you interested in competing?
Area of interest, comments....
My Products
*
Contest Prep Coach. In person and or remote coaching, via phone and email. Monthly Coaching $199/month
$
199.00
Contest Prep Coach. In person and or remote coaching, via phone and email. 2 months
$
389.00
Contest Prep Coach. In person and or remote coaching, via phone and email. 3 months
$
569.00
Contest Prep Coach. In person and or remote coaching, via phone and email. 6 months
$
1,099.00
Contest Prep Coach. In person and or remote coaching, via phone and email. 12 months
$
1,999.00
Total Body Transformation Kit- Phase One – Protein and Detox/Cleanse Kit – Plus free bonus items: - Altered Image Supplements - (Kit includes: 2lbs Chocolate Protein Powder, 2 lbs Vanilla Protein Powder, Max Detox,Coolon Sweep, Chlorella, Thermo-Alert, Printed and digital copy of the book "Get On Point", 12 issue digital subscription to NW Fitness Magazine, One single printed issue of NW Fitness Magazine.
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
/ Consultation / Assessment / Evaluation / Initial custom program / Private posing coaching session
$
49.99
Seminar - Intro to Competing - Contest Prep Seminar plus posing class practice.
$
49.99
Date - Time - Location
Sat March 2nd, 2019. Noon – 2:30pm. Summit Fitness, 905 Harvey Rd B, Auburn, WA 98002
Open posing class / practice :
$
24.99
Date - Time - Location
Sat March 2nd, 2019. 1:30pm - 2:30. Summit Fitness, 905 Harvey Rd B, Auburn, WA 98002
Paperback Book - GET ON POINT - 8 WEEK TOTAL BODY TRANSFORMATION PROGRAM - 264-page Paperback Book - A balanced approach to transforming your body & maintaining new levels of HEALTH, FITNESS & ENERGY. By Jeremy Williams $29.99
$
29.99
Digital eBook - GET ON POINT - 8 WEEK TOTAL BODY TRANSFORMATION PROGRAM - 264-page Digital eBook - A balanced approach to transforming your body & maintaining new levels of HEALTH, FITNESS & ENERGY. By Jeremy Williams - $14.99
$
14.99
Digital eBook - Contest Prep Success Guide - eBook digital download. $ 1.99
$
1.99
Gourmet Blend Protein Powder - 2-pound bag. By Altered Image Supplements Promotes lean muscle & strength Supports recovery Mixes well & Tastes great Flavor options (chocolate or vanilla )
$
39.99
Flavor
Quantity
chocolate
1
2
3
4
5
6
7
8
9
10
vanilla
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Thermo-Alert By Altered Image Supplements Thermogenic fat burner for boosting energy levels, raising your metabolism
$
29.99
Quantity
1
2
3
4
5
6
7
8
9
10
Stamina-Elite By Altered Image Supplements Train harder, longer, more focused, and recover faster.
$
29.99
Quantity
1
2
3
4
5
6
7
8
9
10
NW Fit Club - Join Free -Subscribe to receive articles, tips, reminders, and videos, via email from Jeremy Williams: Health, fitness, nutrition, meal prep, cooking, training, motivation, and success principles.
$
Free
Enter coupon
Apply
Total
$
0.00
Submit
Should be Empty:
