Enter To Win

Finally You Can Get The Body You've Always Wanted 

And GET IN SHAPE ONCE AND FOR ALL

For FREE!

  

Enter To WIN Our New Year, New You Give-a-way


   $500 Private Personal Training Package
A Supplement Gift Basket - Value $150
2 Health and Wellness Assessments
A One Hour Health and Wellness Consultation
(Covering what "really" works and what doesn't, myths and more about nutrition and fitness)

 

 

This draw starts on Jan 1st 2012  and ends on Mar 14th 2012.  There will be a new draw every few months, so make sure to check the Lifestylz website periodically for new draw dates. You must enter the draw within the start and end dates in order to be eligable for the prizes. You can only enter you name once per draw and you must re-enter you name for each new draw.

* Required Fields
First Name: *
Last Name: *
Home Phone: *
Work Phone:
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Birthday :  *
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City: *
Province/State: *
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Email: *
1. What service(s) are you interested in?
One-On-One Personal Training
Partner Personal Training
Group Personal Training
Massage Therapy
Program Design
Program Updates
In-Home Fitness Equipment
2. What Body Design Systems program(s) are you interested in?
Ultimate Fat Loss Program
Bridal Boot Camp
Post Rehab Conditioning
Body Shots
Body Define
Body Torque
Pre Pregnancy
Post Pregnancy
Body Fusion
Body Synergy
Body Dynamics
3. What In-home fitness equipment are you interested in?
Treadmill Elliptical Bike Gyms
4. What are your goals (check off all that apply)
Weight Loss
Increase Energy
Improve Endurance
Feel Better
Muscle Tone
Increase Self Confidence
Improve Nutrition
Look Better
Increase Strength
Improve Flexibility
Reduce Stress
Enhance Performance
5. How did you here about us?
News paper
Seminar/Event
Referral
E-mail
Mail
Internet
6. Join me up for the V.I.P. e-mail list to receive FREE monthly fitness tips, nutrition tips and special offers.
Yes   No
Please indicate how soon you would be able to start.
(i.e. immediately, 2 weeks, or indicate specific date):