TRIM-STYLE™ WEIGHT LOSS

Payment Form

Please enter "private or group" for each session you are attending. Also enter the cost for each session or special discounts when they are discussed at your consultation.

General Information

Please enter your information. Entries marked with (*) are required.

Name: *
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Sessions

Session 1: Cost: $
Session 2: Cost: $
Session 3: Cost: $
Session 4: Cost: $
Session 5: Cost: $
Session 6: Cost: $
Session 7: Cost: $
Session 8: Cost: $
Session 9: Cost: $
Session 10: Cost: $
Session 11: Cost: $
Session 12: Cost: $

CDs For Your Program

Listening and applying the techniques and strategies on these CDs will enhance your results in private and group sessions. Combining the content on the CDs and the content from your live sessions will yield the best results.

  1. Regular cost of CDs: $24.99
  2. Enter Pre-paid Discount Amount: -$
    (Discussed at your consultation)
Total CD Cost: $

Grand Total: $