Change Your Body Challenge #3
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1. Application for Contest #3
Thank you for choosing to enter our FREE contest, please answer the following questions.
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1
. Please enter your personal contact information below.
Please enter your personal contact information below.
Name:
Company:
Address:
Address 2:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
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2
. Why are you entering the Change Your Body Challenge?
Why are you entering the Change Your Body Challenge?
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3
. Why do you want to change your body?
Why do you want to change your body?
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4
. Why must you do it now?
Why must you do it now?
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5
. What happens if you don't do it?
What happens if you don't do it?
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6
. What will you gain by changing your body?
What will you gain by changing your body?
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7
. What obstacles will you need to overcome to be successful?
What obstacles will you need to overcome to be successful?
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8
. How will you overcome them?
How will you overcome them?
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9
. Who will you turn to for support besides our community here?
Who will you turn to for support besides our community here?
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10
. How will you reward yourself at the completion of the contest?
How will you reward yourself at the completion of the contest?
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