The New You Lifestyle™ Nutrition Challenge Registration
Welcome!

Please fill out the secure form below to register.

You can preregister anytime between now and the "register by" date listed on the website to reserve your spot.

Thanks for joining us! I'm thrilled you're here and am looking forward to working with you during your 28 Day Challenge.


First Name *
Your answer
Last Name *
Your answer
Email Address *
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Phone Number *
Your answer
Billing Address
Street *
Your answer
City *
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State *
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Zip *
Your answer
Billing Info
Credit Card Number *
($349 will be charged within one week of registering)
Your answer
Expiration Date Month *
Expiration Date 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 *
Your answer
Shipping Address
(If different than your billing address)
Street
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City
Your answer
State
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Zip
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Flavor Choices
You get to choose your favorite flavors for your nutrition challenge smoothies and bars for days 6-28! The 5 Day RESET comes in a variety pack with everything. Use the options below to select your preferences for days 6-28. All are included in the cost of your program and will be delivered fresh from the manufacturer right to your front door the week before the challenge starts.
Smoothie Flavors
Select 1, 2, or 3 of the flavors you like best. We suggest all 3 unless you strongly dislike one.
Nutrition Bar Flavors
Select the 2 flavors you like best. Only select 2.
Please list any allergies you have.
Your answer
Did someone refer you to this Nutrition Challenge? Let us know who! *
Your answer
Do you want to lose more than 8 lbs?
If you want to lose more than 8lbs, we recommend doing our "2 Smoothie Per Day" plan. The additional cost for this is $90 for your entire month's supply of 2 smoothies/day. That's 28 more meals for only $90!
Anything else you'd like to let us know?
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Disclaimer *
As with every health & wellness program, please check with your medical doctor before starting this program. The information in The New You Lifestyle Nutrition Challenge is meant for educational purposes only. The information in this program is not intended to serve as medical advice and should not be used for the diagnosis or treatment of a health problem or disease. This program is not a substitute for professional medical care.
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