No Weight Gain Contest Certificate of Completion

Thank you for participating in the No Weight Gain Contest. Please complete the following information by January 18, 2019. For our reporting purposes, we encourage you to submit your form, even if you did not maintain or lose weight.
* indicates required
Please enter your six digit EIN withouth the "U".
Please select your weight loss/management results from the following options.
Email Marketing Powered by Mailchimp