SASSY Summer Slimdown Registration Form
Thank you for registering, please fill out information below via this secure form.

Total cost of the program is $379.00 USD. (because of shipping, amounts may vary $10.00 - $12.00)

Your products will be delivered to you within 7-10 business days. Your 1st program modules will be sent within the week. They will include your shopping lists, recipes and all the motivation to keep you focused on a new smart lifestyle.

You will be elated you took this LEAP OF FAITH, together I will assist you in becoming your very best version of yourself! If you have a friend that wants to join you in your journey, send them to
DawneSchultz.com it's always more fun when you have a buddy...

Thank you again for the trust in me.
* REQUIRED

First Name
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Last Name
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Email Address
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Phone Number
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Billing Address
THE ZIP CODE NEEDS TO MATCH THE BILLING ADDRESS OF THE CREDIT CARD
Street
Include unit number where applicable.
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City
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State
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Zip Code
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Shipping Address
If different from billing address.
Street
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City
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State
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Zip Code
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Billing Information
Credit Card Number
(Total will be charged within one week of registering.)
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Credit Card Expiration Month
Credit Card Expiration Year
CVV2 Security Code
(3 digit code - On back of Visa and Mastercard. 4 digit code - On front of Amex.)
Your answer
Name On Card
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Customize your Protein Choices
1) Your SASSY Summer Slim Down includes 4 bags of protein, 4 boxes of nutrition bars, your 28-day supply of #1 rated multivitamin in North America in addition, you will receive 28-day supply of double distilled fish oil.
Your SASSY Summer Slim Down program will be delivered right to your front door.
Smoothies Protein
Select the protein base you like best.
Nutrition Bar Flavors
SELECT 4 FLAVORS & enter the number of each in the space provided. Your choices are: Peanut Butter, Dark Chocolate & Coconut Cashew.
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Let's personalize your program for Optimal benefits!
Choose from the listed items below to BOOST your body's performance; choose the products that are best for you, and then get back to creating a life that's truly-uniquely-yours!

Our product partner became a registered FDA Drug Establishment in 2011. As such, all components of the manufacturing process are evaluated and inspected by the same FDA standards as used for pharmaceuticals.

Choose for your individual needs...
How did you learn about the SASSY Summer Slim Down Program?
Let us know who referered you to us!
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Do you have any medical conditions we should know about?
Please list all.
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Health Disclaimer
This product is not intended to diagnose, treat, cure, or prevent any disease. As with any health or fitness program, a sensible eating plan & regular exercise are required in order to achieve long-term results.
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Payment Disclaimer
The purpose of this form is solely to collect information. This does not process your payment; your payment will process online with product partner, USANA Health Sciences, Inc
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