REGISTER TODAY
to change your life forever and become a
HOT MAMA!
1. Would you like to be a Facilitator or a Member? Please choose one.
2. Are you at least 18 years of age?
3. Name
4. Address
6. E-mail
7. If you would like to be a Facilitator do you have a group of women you plan to take this journey with or would you like our assistance in forming your group?
8. If you would like to be a Member do you have a group that you would like to be a part of that is currently being formed or would you like our assistance in finding you a group to join in your area?
9. Please click the SUBMIT button when you have completed the form:
We will contact you within 72 hours to confirm your registration with the Hot Mamas Weightloss Club.
Look for an e-mail from hotmamasweightlossclub@yahoo.com
Women with the power to be healthy!