Order Request
Thank you for visiting our site. With this form, you can:
1. Subscribe Monthly to Zumba and Zumba Toning $25
2. Sign up for Weightloss Coaching $65 or $80
3. Purchase a Waist-Trainer $40 shipping included
4. Purchase Zumba T-shirt customized with your name on front and GoalGetters logo on back $20
5. Purchase Gainz Girls T-shirt $25 with shipping
6. Purchase Zumba Toning Weights $35
Email address *
What is your Address *
Are you a new to Zumba by Triola?
Clear selection
What is the item you would like to order? *
Contact info
Your name *
Phone number *
Preferred contact method *
Questions and comments
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Triola's Zumba by faith. Report Abuse