For a NEW ENROLLMENT, write down the following information: ​

• Name:    

• Shipping Address:  

• Billing address if different than shipping address.

• Credit card Name:

• Credit card Number:

• Expiration date:

• CVV Number:

• Email: Phone:

• Flavors and Product options for the Pack being purchased (shake flavors, cleanse flavor, bar flavor, etc.) 

• Tell them you are going to set them up on a Subscription and the reason for it: “Based on the solutions you are seeking; I am putting a little order in for your subscription. This will get you the best discount on your initial order.  There’s no contract and you can change or cancel 24 hours before it ships, plus this earns you free shipping (with the Ultimate, Value, Premium pack). We will be talking before then so we can adjust it if needed.”

• DO NOT REPEAT THE ORIGINAL ORDER!!! ​