Only a limited amount of driven ladies will be accepted..We will be selecting each person based on their true desire to make a life changing “Turn-Around.”
Apply now
 
Thanks for your interest in joining the "Burn It In 30 Weight Loss Program".

What's your first name? *

 
What's your last name, {{answer_15245940}}?

 
What's your postal address?

This is so we can send you your Certificate at the end of Program.
 
Your cellphone number? *

We will use this only to call incase there is a specific questions about your application and it is needed in order to proceed with evaluation.
 
How many pounds would you like to lose? *


 
What areas of your body do you specifically want to work on?

 
Are you engage in any type of physical activity? If yes what kind and how often? (e.g. Yes, I dance Zumba 4 times a week)

 
Are you currently on a specific diet? If yes what kind ? (e.g. Yes, I follow a zero carb diet or No but I only eat once a day)

 
Are there any medical conditions I should know about? *

 
Tell me exactly why you should be part of this 30 day life changing experience: *

 
How serious is your commitment to accomplish your weight loss goals? *






 
How did you hear about the Burn It In 30? *


Thank you for taking the time to apply for the Burn It In 30 Weight Loss Program.  You should be receiving an email shortly notifying you I have received your submission.  Have a great day!

NOTE: THIS IS A 100% ONLINE PROGRAM.
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