Jay Roc & Porscha
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Fit Camp Registration
Please Read and Fill-in the blanks, Check Each Box to Proceed to the Next Page
First Name
Last Name
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How did you hear about us?
Flyer
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Invited by (Name of Wellness Coach)
I've sent $10 via CashApp to $herbalalpha or PayPal "Git24Fit@yahooo.com" with subject "Jan 11 Fit Camp -(Your Full Name)"
Have you ever sampled a smoothie and tea from our smoothie bar?
Yes
No
Guess what?! Today your $10 entry gets you a post workout smoothie. They are all great! Select the flavor you want?
Pumpkin Cheesecake
Cinnabun
Orange Cream
White Chocolate Reeses
Chocolate Caramel Cheesecake
REFERRAL POINTS. Who do you know that: 1) Wants to lose weight, improve their health & nutrition. 2) Would enjoy a free shake & tea service 3) Wants a free Body Scan Analysis and Wellness Evaluation. **Please provide their name (s) & number(s) here.**
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