21-Day "Spring into Summer" Program Registration
Let me help you "Spring into Summer" with new eating habits and a new you! | May 8th to May 29th

Starting at just $199 USD. Total program value is well over $2,000 USD!

This is a customizable nutrition program. Everyone starts with our basic recommendations and you can choose to add a variety of products below to suit your individual needs. Whether you choose the standard package or any add-ons, you are already on the right track.

Please review exactly what is included in the standard program at restorativenutritionri.com, and you can always contact Jill at jill@restorativenutritionri.com if you have any questions about anything related to this program. Contact me if you need help determining what add-ons are right for you. We're here to help!

You can also opt into specialized 1:1 nutrition and health coaching with Jill for an additional $75. She will be able to give you a diet and lifestyle analysis and daily check in's and 1:1 time.

Depending on the sales tax and shipping rates in your area, your actual program cost may vary plus or minus by $5 - $10 (it's usually less, not more).

Program cost may vary in countries outside of the US, please contact me for pricing if you're outside of the US:
:: In Canada and Australia, the program cost is the same as the US, plus or minus $15 depending on shipping and tax
Untitled Title
First Name *
Last Name *
Email Address *
Phone Number *
Date of Birth *
Billing Information
Billing Address *
Please include street, unit number if applicable, city, state & zip. Include country if outside of the US.
Shipping Address
If different than Billing Address.
Credit Card Number
Credit Card Number *
Expiration Month *
Expiration Year *
CVV2 Security Code *
(3 digit code - On back of Visa and Mastercard. 4 digit code - On front of Amex.)
Name On Card *
Choose Your Smoothie Flavor
Choose your smoothie flavor: *
Your program comes with 1 gusset bag (9 servings) of a healthy smoothie mix.
Optional: Program Add-Ons
Your program comes with my minimum supplement recommendations for optimal health--your multivitamin, omega-3 fish oil, extra vitamin C + grape seed extract and probiotic. You're already on the right track! Below are optional add-ons that you can use to fit your individual needs.

Important! The price you pay for these products is our cost, we do not mark them up. The prices quoted here include a few dollars each for tax and shipping estimates, and if the total cost comes out less because of lower tax or shipping we always give you the lowest price. We're pretty good at 'guestimating' but you might pay a few bucks less.
RECOMMENDED: Vitamin D (Highly absorbable, 3 month supply)
The current recommendation of 400 IU of vitamin D per day may not be enough to prevent vitamin D deficiency. USANA’S supplement has 2000 IU of vitamin D per tablet. Product info here: http://bit.ly/VitaminDinfo
USANA Digestive Enzymes (28-day supply)
Highly recommended! If you find yourself having gas often, this supplement is for you. 
Helps relieve occasional stomach discomfort, indigestion, and the sense of over-fullness that may occur after eating a large meal. Supports body’s ability to digest lactose and fats properly. Supplies enzymes to support normal digestion and optimal macronutrient absorption. Product info here: http://bit.ly/Digestive-Enzyme
Joint Health Glucosamine + Meriva® Curcumin supplement (28-day supply)
Delivers vegetarian glucosamine to help maintain healthy cartilage and joints. Meriva® bioavailable curcumin complex complements the action of Procosa to provide even better benefits Procosa Difference Procosa is formulated with Meriva, an innovative curcumin phytosome that has been shown to deliver noticeable improvements in joint comfort and mobility in as little as 90 days. A study co-authored by USANA scientists and published in the Journal of Natural Products revealed Meriva delivers a significant improvement in bioavailability compared to traditional curcumin (from turmeric) extracts. Product info here: http://bit.ly/joint-health-procosa
Optional 1:1 Coaching with Jill
Would you like to get 1:1 Coaching for $75 extra? (please note your card will be charged for this) *
5-Day RESET (Healthy cleanse done through healthy smoothies and bars.)
Lose up to five pounds in five days†. USANA’s RESET™ weight-management program is simple, convenient, and it works. Each day you replace your usual meals and snacks with delicious USANA Foods. Plus, you get a bonus snack of one serving of fruit and one serving of vegetables each day. We also supply you with our top-rated supplements in the HealthPak™ pouches included in this kit. We encourage you to stick to the program, drink 64 to 80 ounces of water daily, and walk for 30 minutes each day for maximum results. One of the most nutritional weight-loss programs on the market. Provides balanced nutrition for weight-loss success. †Individual results may vary. RESET weight-management system lowers your daily caloric intake and recommends moderate exercise for best results. Product info here: http://bit.ly/5-DayRESET
30-Day Extended Weight Loss Option:

Most people lose weight on our standard 21-day program because they are eating healthier foods. If you would like to lose more than 10 pounds utilizing the RESET program above and healthy smoothies and bars over a 30 day period, then our 30-Day Transform Phase might be right for you.

This Extended Weight Loss Program is for individuals who have trouble making healthy food choices and want to lose 10 pounds or more using whole foods in combination with our healthy and convenient pre-made smoothies and bars. Contact us if you’d like to set up a phone chat to determine if this option is right for you.

Following the 5-Day Jumpstart Phase of RESET weight-management program, the Transform Phase will help you achieve your goal weight. You'll still be eating 3 meals and 2 snacks each day. Just replace two meals a day with our pre-made meal-replacement shakes and one snacks a day with our delicious protein snack bars.

This kit includes the 5-Day RESET as listed above, plus 54 total servings of smoothie meal-replacement shakes (chocolate, strawberry and vanilla), 28 total servings of our protein snack bars (peanut and chocolate), and a special bonus of 28 of our healthy energy water flavor surge packs. All foods included in this kit are made with a low-glycemic formula and are designed to deliver sustained energy and control hunger. As with all major lifestyle changes, it is suggested that you consult your physician and secure his or her advice if you intend to change your diet, begin an exercise program, are pregnant or lactating, have allergies, are taking medications, or are under the care of a physician. The components of the RESET 5-Day Kit and Transform Kit are foods, not drugs.
 As with any health or fitness program, a sensible eating plan and regular exercise are required in order to achieve long-term weight loss results. Results will vary.

Adding this option changes your program total to $530 plus tax and shipping for each person who chooses it. Since tax and shipping is different everywhere, we calculate your cost to be between $545 and $600USD.

This is a FANTASTIC DEAL if you want to utilize our pre-made smoothies and bars as it includes all of your 21-day program content, all of your supplements, the 5-day RESET, 54 smoothie meal replacements and 28 protein snack bars!
Choose below:
Optional: Receive 20% OFF Your Next Order
There are two offers that will save you money on future orders if you choose to opt-in (at no cost now):

1. Auto Order is a no-obligation way to save 20% off the USANA recommended retail price and have your products conveniently delivered straight to your doorstep.

You are never locked-in or obligated to your auto order (not even your first one) and can cancel at any time. If you chose to set up your auto order now, you will receive 20% off of retail pricing on your next order. (P.S. just for signing up for my program, you are receiving 10% off retail pricing, our cost, on your first order.)

2. Not only will you receive 20% off of USANA’s recommended retail prices, you will receive what is called the “Initial Order Reward.” This bonus program simply rewards new loyal customers by giving you a credit of 10% of your initial order back as a product credit. 5% in your 1st auto order, and 5% in your 2nd auto order. This means that you will receive two discounts (1. auto order discount, and 2. initial order reward) on your next 2 orders! This is totally optional and you have 4 weeks to decide if you want to take advantage of it before it processes; we’ll even remind you the Friday before.
Would you like us to set up your no-cost auto order?
Other Information
Any food allergies, sensitivities, medications or medical conditions we should know about?
Please list any and all here. Include allergies, foods you don't consume, medications and any conditions we should know about. You can also include any other info you think we should know.
Additional Comments
Did someone refer you to this program? Let us know who!
We like to thank people and give them presents, so if someone referred you here please let us know.
The Legal Stuff
The government and our lawyers make us do it.
Health Disclaimer *
As with every health & wellness program, please check with your medical doctor before starting this program. The information in this online program 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.
Health Disclaimer *
As with every health & wellness program, please check with your medical doctor before starting this program. The information in this online program 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.
Payment Disclaimer *
The purpose of this form is solely to collect information. This form does not process your payment; your payment will be processed online via our product partner, USANA Health Sciences, Inc., through a secure and encrypted connection. The charge on your bank statement will indicate USANA Health Sciences, Inc.
Account Information *
As seen above, we order your products from our #1-rated product partner, USANA Health Sciences. When we order your products we will create you your own free online account, and you'll receive an email from USANA with your account information and shipping verification. You have no obligations to this free account, this is just FYI so you expect the shipping confirmation email.
Refund Policy *
I treat my digital and print offerings the same way as most audio and book retailers: I don’t offer refunds on programs that can be downloaded and viewed (industry standard) or custom supplement packs (again, industry standard.) This program is non-refundable, please read the full program details and frequently asked questions before purchasing.
Are you currently a Preferred Customer or Distributor (Associate) with USANA Health Sciences? *
Please note: Current Preferred Customers & Distributors (Associates) of USANA Health Sciences are not eligible to participate in this program unless they have already enrolled directly through Elizabeth Rider. Please do not register if you are a current Preferred Customer or Distributor (Associate) of the company who did not enroll through Elizabeth. Contact the person who originally set up your account if you have questions or would like to order products. Thank you!
Ready? Let's Go!
Click submit to get started.

You'll get immediate access to your "Getting Started Guide" loaded with tons of resources and good information. Cheers!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy