Seminar Registration - Rossell Fitness

Name*

First Last

Age*

Email*

Phone*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

How far will you be travelling to attend the event?*

1-5miles
6-10miles
10+ miles

PLEASE NOTE THE EVENT ADDRESS: 4 MANDERVELL ROAD, OADBY, LE25LQ

Why are you attending this event?*

Please use as much detail as you feel is necessary to answer this question

What is the main thing that you hope to get from this event?*

Would you be interested in investing in a training course with Nicola Rossell if it were offered at the seminar?*

Yes
No

Do you have any questions or comments for the event organiser?*

If you have no questions or comments simply type NONEThis questionnaire entry will act as your ticket confirmation to the event. Please continue to stay updated with the event by subscribing to the email list where you will be able to get free information and guidance on weight loss and lifestyle changes!https://forms.aweber.com/form/02/2089635402.htm.

Phone

This field is for validation purposes and should be left unchanged.