If you're ready to transform your physique today, print the following questionnaire, fill it out, and mail it to:
Also send a check or Money Order (Please check one)
Training Program - $40.00_______________
Nutrition Program - $40.00_______________
Training & Nutrition Program - $70.00_______________
Renewal Training Program - $25.00_______________
Remember, you're getting a training and nutrition program from a former Mr. USA who has been in the physical culture business for over 30 years and has trained thousands of people. You'll get the exact workout card I use in my health clubs.
NAME:_________________________________________________________________________
STREET ADDRESS:_______________________________________________________________
CITY:____________________________ STATE:___________________ ZIP:____________
TELEPHONE:(______)____________________ EMAIL:________________________________
OCCUPATION:_______________________________ DATE OF BIRTH:_____/______/______
HEIGHT:___________________ WEIGHT:_________________ WRIST SIZE:____________
DO YOU WORK OUT IN HOME?:___________, OR IN A COMMERCIAL GYM?:________________
NUMBER OF MEALS PER DAY:___________ HOURS OF SLEEP PER NIGHT:______________
HOW LONG DO YOU SPEND WORKING OUT? WEIGHTS:________ CARDIO:___________
GOALS. WHAT EXACTLY DO YOU WANT TO DO WITH YOUR PHYSIQUE (USE EXTRA PAPER IF
NECESSARY?):___________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
MEASUREMENTS (OPTIONAL):_____________________________________________________
DIET. WHAT DO YOU EAT IN A DAY AND WHAT OTHER FOODS DO YOU CONSUME IN A WEEK,
INCLUDING VITAMINS AND SUPPLEMENTS:____________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
FOOD ALLERGIES:_________________________________________________________________
AMOUNT OF YEARS, MONTHS OR WEEKS YOU'VE BEEN WORKING OUT. IF YOU'VE NEVER WORKED
OUT BEFORE, STATE THAT:_________________________________________________________
PHYSICAL LIMITATIONS OR RECENT OPERATIONS:______________________________________
_________________________________________________________________________________
_________________________________________________________________________________
CURRENT WORKOUT. SETS-REPS-POUNDS-DAYS PER WEEK:____________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
ANY ADDITIONAL INFORMATION:_________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
If possible, send a picture of yourself in a bathing suit or posing suit (not necessary.)
As with any exercise routine, make sure you get permission from your physician before you start.
By submitting form, I release Preston Rendell and his related enterprises of any and all liability associated with my participation in this program.