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Client Information File

 

Please print out this form and fill it out...

This is information that I will need to start your success file.

 

 

 Name  
 Address                                          
 City  
 State  
 Zip  
 Occupation  
 Date of Birth  
 Phone    
 Email    
 Current Fitness Level    
 Referred By    


 

 

If you have problems printing this information from you computer,

Please email this exact information to me at poeticmodel12@aol.com

 

 

 

 

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