Subscription Application Form


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Secure Subscription Form

We respect your privacy. The personal information requested below is for use in processing your credit card, which is done with secure encryption. We never reveal, share, or sell member information. For complete details see our Privacy Statement.

Customer Information

* = Required - Must match credit card billing address!

First Name [ required ]
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Company
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Address Line 2
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State/Province [ All other Countries ]
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Your E-mail Address [ required ]
Phone or Fax Number [ required ]

Subscription Options

Subscription Plan: Credit Card Processing Payment Gateway E-Commerce	Monthly Membership - Gain IMMEDIATE access to all our videos, workouts, meal plans, forums and downloads for only $1 for 21 days. After that, it is just $11.95 per month (recurring). That is only $0.38 a day. Cancel at anytime - so there is no risk! Yearly - Gain IMMEDIATE access to all our videos, workouts, meal plans, forums and downloads for only $1 for 21 days. After that, it is just $119 per year (recurring). That's a saving of over two months of membership FREE! Cancel at anytime - so there is no risk! Busy Mums Elite Coaching Program - Gain IMMEDIATE access to all of the above PLUS a Monthly Workout DVD, Monthly Coaching Call - one on one support, Busy Mums Step by Step Personalized Action Plan and much more! Access the 21 day introduction trial for only $14.95 and receive your Getting Started Pack (including DVD) in the mail. We will also be in contact to arrange a suitable time for your 1st Personalized Coaching Call. After your 21 day trial, your monthly Workout DVD will be shipped to your door for just $39.95 per month. Cancel at any time - so there is no risk!

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Payment Information

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Expiration Date [ required ]	/
Name on Credit Card [ required ]
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Credit Card Processing Payment Gateway E-Commerce