April 12th Nutrition Makeover Registration Form

Registration form for the April 12, 2012 nutrition makeover at Adjust to Health from 5:45pm to 8:15pm. Once you press submit on this form, please click on the link that shows up for the store to submit your payment.

To submit payment online, follow the link that will appear on your screen after submitting this form. The cost is $40 for a single registration and $60 for a couple registration. If you pay online, you will save $5 per person!

Enter the verification code in the box below.