Break of Dawn Bootcamp-Installment

The HIIT Studio

Break of Dawn Bootcamp
Welcome to registration. Congratulations on making a committment to YOU! Complete the form below and you'll secure your spot in our Break of Dawn Bootcamp. I'm looking forward to being a part of your journey to better health.

Yours in Health,

Coach Tazz
Name*

First NameLast Name
E-mail*
Birth Date*

MonthDayYear
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Height:*
feet/inch
Weight (lbs)*
Fitness Level*

Couch PotatoModerately ActiveAthlete
Referred By:

Break of Dawn Bootcamp - 1st Installment$79.50

**Final Installment of $79.50 will be auto-debited on Friday, March 14, 2014
DO NOT CLICK SUBMIT MORE THAN ONCE. DOING SO WILL RESULT IN DOUBLE PAYMENT. CONTACT 804-464-8299 IMMEDIATELY TO CORRECT. REVERSALS ARE PROCESSED IMMEDIATELY UPON NOTIFICATION HOWEVER MAY TAKE 1-7 BUSINESS DAYS TO POST TO YOUR ACCOUNT BASED ON YOUR BANK'S INTERNAL PROCESS.
For More Information Contact:

Tezra Leak

Divine Transformation Fitness, LLC

804-464-8299

getfit@hiitstudio.com
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The HIIT Studio