STAN's 21 Day Bikini Detox 2.0 Application Form
Please fill in this simple form to register your interest in joining the programme.
Biggest obstacle preventing you from reaching your goal?
Both food and exercise
Lack of time
Lack of accountability
Reason for choosing this programme?
Both lose weight and become healthier
How far off your ideal weight are you?
3 - 7 pounds (up to 3kg)
7 - 14 pounds (up to 6 kg)
14 - 20 pounds (up to 9kg)
Over 20 pounds (over 9 kg)
Why do you think this programme will benefit you?
Are you ready to commit to the next programme which starts in a few weeks time?
Do Not Fill This Out