2007 LEANEST WINNER TEAM REGISTRATION FORM PRINT OUT (register online using paypal links above)
presented by UNICUS Fitness
1. Registration is open from Monday December 4, 2006 to Monday January 15th, 2007
2. The registration is not complete unless all forms are turned in and payments made
-1/2 sheet registration form (below) EVERYTHING MUST BE FILLED OUT
-Waiver signed and dated for each participant
-Check or money order made payable to UNICUS
**$500 team entry fee (or $125 per person) if payment is received on or before January 7, 2007***
***$600 team entry fee (or $150 per person) if payment is received after January 7, 2007)
- Packets can be turned in on the 23rd floor Fitness Center or to the UNICUS tent in the lobby of 233 or 111.
3. Team Packets can be picked up on Monday January 15th or Tuesday January 16th after the entire teams’ measurements have been taken.
4. Team Packets include (for each participant):
o 24 Punch Card sessions of mid-day classes at the Fitness Lair
o Mid-Day Group Class schedule
o Nutritional Manual
o 12-week UNICUS Online program login and password access
o 12 Coupons for weekly exercise workshop
o Information on 25% discounts on other UNICUS services
o 3 Coupons for monthly nutrition seminar
2007 LEANEST WINNER REGISTRATION FORM
*EVERYTHING MUST BE COMPLETED
TEAM NAME _______________________________________________
TEAM MEMBER NAMES & EMAIL ADDRESS PLEASE PRINT CLEARLY
1.______________________________________________________________
2.______________________________________________________________
3. _____________________________________________________________
4.
_____________________________________________________________
CONTACT PERSON & PHONE # ______________________________________
REGISTRATION PAYMENT:__________________________________________
(Please verify
your type of payment: paypal, check #, money order and the amount)
Ex: Jane Smith Paypal 12/4/06 $125
Mike Smith Ck # 1234 12/5/06 $125
UNICUS FITNESS 312-819-4466 INFO@UNICUSPT.COM WWW.THEFITNESSLAIR.COM/LEANESTWINNER