XTREME ADVANTAGE PERSONAL TRAINING & MORE
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Contact Us

19409 E. 10 Mile Rd.
Roseville, Mi. 48066
(586) 778-5222
 
 
PLEASE FILL OUT FORM BELOW OR CALL FOR AN APPOINTMENT
 

Last name:
First name:
Email address:
Address 1:
City:
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1. How did you here about (or find) us?
1A. If you were referred, who referred you?
2.What is your service of interest?
3. What are your areas of concern? (Please check one or more)Empty
Weight (Fat) Loss
Muscle Toning (Sculpting)
Muscle Building
Strength & Conditioning
Endurance & Flexibility
Relieve Stress (Physical & Mental)
Overall Good Health
4. Are you also interested in a Nutritional Guidance Program?
5. What is your level of fitness?
6. How many days per week are you interested in training?
7. How long of a program are you interested in?
8. When would you like to start training?
9. When is the best time to contact you?
ADDITIONAL INFO:
  

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