Diet Coaches - Client Profile

"If you have formed the habit of checking on every new diet that comes along, you will find that, mercifully, they all blur together, leaving you with only one definite piece of information: french-fried potatoes are out. "
- Jean Kerr

"Americans have more food to eat than any other people and more diets to keep them from eating it "
-Unknown

Thank you for being interested in our Diet Coaches Services. Please fill out the subscription registration below. Submitting the form automatically enrolls you in the free Level One Membership. After submission of the form you'll be taken to another page that will allow you to choose the Membership Level you feel will best meet your diet coaching needs and budget.

You can lose weight, let the successful journey begin!

Membership Opportunities

Level One
Free

Level Two
$15.00 a week

Level Three
$50.00 a week

Required Fields are in Red:	Please fill out this form to enroll in Diet Coaches.
Last Name:
First Name:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Email Address:
Gender:
Birthdate:	(mm) (dd) (yyyy)
Age:
Phone:
Marital Status:
Current Weight (in lbs):
Desired Weight (in lbs):
Heighest Weight (in lbs):
Please describe your previous diet experiences:
	Submitting this form automatically enrolls you in our free Level One Membership and takes you to our selection page of higher level memberships. Those of you seeking a more frequent, more personal coaching service may choose from the membership options available there.

IMPORTANT NOTICE: ATTENTION: Diet Coach Subscribers
Due to an increase in ISP's security, filtering and spam blocking programs many of the requested Level One emails we send out to you each week are being returned to us as "undelivered - spam blocked." We continue to send them out but cannot guarantee that you will receive them consistently. We apologize for this inconvenience and hope it doesn't derail you from achieving your weight loss goals. We'll keep trying.

Always know you can lose weight and keep it off.

You can do it!

With respect,
Coach Joy

In subscribing to our services, or by any application of the Diet Coaches' material, you are thereby accepting our terms and conditions. Feel free to contact us with any questions regarding these policies.