Credit Card Authorization Form
In completing this form, you are authorizing UNICUS Fitness to charge your credit card in the amount of $135 for the number of months selected below. Charges will be made on or around the 1st or 15th each month (you choose which date is best for you). A minimum of 3 months on Electronic Funds Transfer (EFT) is required to get the $135/month rate. Accounts that are canceled prior to the 3 months will incur a $150 fee. All payments will be processed on the first of the month.

* indicates required fields 
  *First Name:
  *Last Name:
  *Address:
  *Email Address:
  *Phone Number:
  *Credit Card Type:
  *Credit Card Number:
  *Expiration Date:
  *3 Digit Code:
  *Which Program Are You Enrolling In?:
  *Select Your Start Date:
  *Enrollment Length:

After filling the details click on the SUBMIT button.
 

Money Back Guarantee: *You must attend and participate in all 12 Wedding Boot Camp workouts in the month, complete and email in a weekly food log  (3x/week to support@weddingbootcamp.com), complete 2 outside workouts on non-class days burning 500+ calories per workout and hte program requires no use of alcohol during the 4-weeks of the program.  You must be eligible to qualify.  If you have a BMI greater than 30 and your body fat percentage is greater than 30% you qualify.  

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