Lose a Ton Application [1]

[3]

[4]

Application

Santa Clarita's inaugural “Lose a Ton" contest.

through Aug.1, 2005. For info call : 661-298-1220

I pledge to lose ______________pounds!

Name_________________________________________________

Phone_________________________________________________

E-mail_(optional)________________________________________

Beginning Weight*______________

Ending Weight*_____________

I understand in order to qualify for the weekly prize drawings and/or the grand prize $1500 diamond, I must turn my application in and get weighed at one of the 4 Santa Clarita Curves locations. (Bouquet at Seco, Sierra Highway at Soledad Cyn, Westridge Center, or Lyons Station at Apple St and Lyons Ave.)*Weight information kept confidential at Curves.

When completed please drop off at any of the 4 Santa Clarita Curves Locations!

Curves Fitness Centers:

23418 Lyons Ave.
Newhall, CA 91321
(661) 284-3012

27574 Sierra Hwy.
Canyon Country, CA 91351
(661) 250-8842

26934 The Old Rd.
Stevenson Ranch, CA 91381
(661) 799-7606

26865 Bouquet Canyon Rd.
Saugus, CA 91350
(661) 297-9640