Unislim

Celebrate your weight loss & win €1000!

It's our favourite time of the year! We are currently on the look out for our 2012 UniSlimmer Of The Year!

The UniSlimmer of the Year is fantastic event, where we celebrate the incredible successes of our members.

The overall winner will receive a cheque for €1000 and be crowned our UniSlimmer Of The Year.

Fill in the form attached and email it, along with a before and after picture to soty@unislim.com, or print out and give to your leader.

All entries must be received by 30th July 2012

This is a fabulous event which with the Grand Final taking place in Dublin.

Applicants should be:

• Over 18 years of age.
• Be at Target Weight by September 2012. (BMI must be between 18.5 - 25).
• Be available to attend Grand Finale in Dublin in September 2012. (Date will be announced shortly)
• Have lost over 3 stone.

Required *

Name  *

Address  *

City/Town

Postcode (if applicable)

Country

Primary Telephone  *

Secondary Telephone

Email  *

Unislim Class Attended

Unislim Class Leader

Unislm Join Date DD

Age Group  *  18-25   25-35   35-45   45-55   55+ 

Heaviest Weight

Target Weight

Height

BMI

Total Weight Loss

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Please check which category belongs to you  1-4 Stone Weight Loss   4 Stone + Weight Loss 

Date You Reached Target

Do you agree to local/national publicity?

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Upload Before Image

Please make sure image is LESS THAN 700k.

Not sure how? View some tips here

Upload After Image

Please make sure image is LESS THAN 700k.

Not sure how? View some tips here

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Your success story Tell us how Unislim has made a positive impact on your life (Ask your Class Leader for guidelines)

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