Shape up form - Perceptions

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Shape up form

Just a few really quick questions to help us see if you would be a suitable candidate for Shape up

Name
First Last
Phone (I'll get in touch via text)
Date of birth

Day
Month
Year
Can you attend a minimum of three classes a week in Blackrock?
- YES
- NO
When does this have to happen?
- Later (not sure how ready I am)
- Sooner (I cant take this any longer)
what time suits best?
- 6-00 am
- 7-00 am
- 9-20 am
- 5-30pm
- 6-30pm
- 7-20pm
- 8-15pm
- not sure can we chat about it
I undersrtand that this 6 week challenge is 299 euro and my results are guaranteed with my money back?
- yes please I would like to sign up immediately and secure my place
- No

FREE GUIDE REVEALS

52 PROVEN Ways To Drop A Size, Feel More Confident, And Feel Good About Yourself

(So That You Can Wear The Clothes You Want And Get Your Life Back)

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Email: leigh@leighwrafter.com
Phone: 0833093479

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