Skip La Cour's Phone Consultation
Availability Schedule &
Request Form


Skip La Cour One-on-One Phone Consultation
Request Form

1. E-mail address:

2. What is your full name?

3. What is your mailing address?                    

4. What city and state do you live in?               

5. What is your zip code?                                 

6. What is your phone number?                                         
()

7. How long have you been training?                                         
years.

8. How would you describe yourself?

Beginner Intermediate Advanced

9. Do you plan to compete?

Yes Hopefully, in the future No

10. Which areas are you most interested in learning more about?

Training

Nutrition

Supplementation

Motivation

Contest Preparation

Career Planning and Goal Setting

Marketing Yourself to Become a Bodybuilding or Fitness Star

Strategies to Get Your Articles Published in the Fitness Magazines.

10. Phone Consultation Appointment Request

Choice #1-DateDay of WeekTimeAM/PM

Choice #2-DateDay of WeekTimeAM/PM

Choice #3-DateDay of WeekTimeAM/PM

11. How were you planning to pay for your phone consultation?

Check  Money Order Credit Card

Send Checks and Money Orders To:

Skip La Cour
712 Bancroft Road #259
Walnut Creek, CA 94598  USA

12. CREDIT CARD INFORMATION

Type of credit card:

Credit card number:

Expiration date:

13. Please provide any questions, comments, training background information, or concerns you have in the following space provided.

 

 

 

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First Visit? Read This "Welcome Letter" From Skip La Cour      
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(LATEST UPDATES 7-20-06)

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E-mail Skip La Cour at skip@skiplacour.com

Skip La Cour Consulting
712 Bancroft Road #259, Walnut Creek, CA 94598 USA
925-296-9238

Copyright © 2008 Skip La Cour’s Natural Fitness, International. All rights reserved. No duplication or reproduction in any form without written permission. Information in this document is subject to change without notice. Products and companies referred to herein are trademarks or registered trademarks of their respective companies or mark holders.