6 Week Transformation Registration

6 WEEK FAT FLUSH TRANSFORMATION

Congratulations on a great decision to take on the 6 week challenge and see what YOU can accomplish, with a little help and commitment!

Thank you for taking the time to complete and submit the following Secure Web Form below.
You will receive a confirmation email following the completion of the registration process.

Full Name:

Street Address

City

State

Zip Code

Mobile Phone Number

Home Phone Number

Your primary email address (for confirmation and program correspondence)

What location are you registering for?

For which 6-week program?

Personal Training 60 mins

Personal Training 30 mins

Boot Camp

Small Group Training

Kettlebells

Crossfit

BILLING INFORMATION

Name as it appears on card

Card Number

CCV#

Card Expiration Month and Year

Billing Zip Code

Your Date of Birth

How did you hear about us?

For an additional $50, would you like the "Get Started" package? (Normally $99)

Includes: Full 6 Weeks of Meal Plans, 12 week Nutrition and Exercise Journal, SWAT T-shirt and Kettlebell Wrist Wraps

Yes, I'd like the 6 week meal plans, nutrition and exercise journal, t-shirt and wrist wraps for just $50 ($99 value)

No Thanks

Any Medical Conditions, Additional Questions or Comments:

I certify that I have read and fully understand the waiver, liability, terms and policies
and fully agree to abide by the conditions and terms.

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520.886.7928 / Contact Us / SWATFitness.com