FREE FITNESS GIFT

"Simply Fill Out & Submit The Form Below &

This $95 Gift Pack That Can Supercharge Your Fitness

& Weight Loss Can Be Yours Absolutely FREE!"


This FREE Gift Pack will give you the opportunity to sit down with a highly qualified fitness professional (not a sales person) for a FREE, NO OBLIGATION Fitness Consultation so you can determine for yourself whether or not what we offer is going to be the best option for you. You will also receive a FREE Private Personal Training session so you can try us out risk free. You truly can't lose. But you have to take the first step and that's to TAKE ACTION!

Even though everyone will be eligible for the free gift pack, we only want to work with those individuals who are serious about their health and well being and who are willing to make the commitment and put forth the time and effort that it takes to get great results. For this reason we pre qualify and prescreen all individuals interested in our services prior to giving them the Free $95 Fitness Gift Pack. In addition, since we operate on an appointment only basis there will be a limit on the number of FREE Gift Packs given away each week.

So if you are serious about wanting to lose those extra pounds and inches, and if you want to firm and flatten those trouble areas, than simply fill out and submit the form below. Once time slots become available we will then review your application in the appropriate order that it was received and if you qualify, we will then contact you to award you your FREE $95 Fitness Gift Pack.
* Required Fields
First Name: *
Last Name: *
Home Phone: *
Work Phone:
Cell Phone:
Fax:
Birthday :  *
Address: *
City: *
Province/State: *
Postal/Zip Code: *
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
7. Do you have any friends or family that would be interested in Lifestylz? If so please enter their information below to be eligible for a $50 referral reward!
Name:
Phone:
Email:
 
Name:
Phone:
Email:
Please indicate how soon you would be able to start.
(i.e. immediately, 2 weeks, or indicate specific date):