PLANNED PERFORMANCE - all questions must be answered

First Name:   Last Name:   Gender: Male Female   Married or single: Married Single   Weight (in lbs):   Birthday: mm/dd/yyyy       Height (feet - inches):   Where did you first hear about BSN?:		Email Address:   Web Site:   Phone Number:   Secondary Number:   Street 1:   Street 2.   City:   Postcode:

PHYSIQUE GOALS:
What is your desired body weight? (in lbs):   How much body fat do you wish to lose? 0lb 1 - 2lbs 3 - 5lbs 6 - 8lbs 9 or more lbs   How important is this goal to you? 0 - Not Important 1 2 2 4 5 6 7 8 9 10 - Very Important   How long have you wished to achieve your goals (i.e. gaining muscle and/or losing body fat)? < 6 months 6 months - 1 year 1-2 years 2-4 years > 4 years   What has held you back from achieving your goals to date? (select the most important one) Not enough time (school, work, family) Not enough money Not enough information (unsure what to do)   What do you most like about your body?   What areas of your body do you most want to change?   What time of day do you normally workout? Before 7am 7am - 9am 9am - 11am 11am - 1pm 1pm - 3pm 3pm - 5pm 5pm - 7pm 7pm - 9pm After 9pm		How much lean muscle do you wish to gain? 0lb 1 - 2lbs 3 - 5lbs 6 - 8lbs 9 or more lbs   How important is this goal to you? 0 - Not Important 1 2 2 4 5 6 7 8 9 10 - Very Important   Over what time frame do you want to achieve your goals? 1 month 2 months 3-5 months 6-8 months 9 or more months   How serious are you about achieving your goals in this time frame? 0 - Not serious 1 2 2 4 5 6 7 8 9 10 - Very Serious   If a Performance Specialist were to get you started on Planned Performance™ today, is there anything or anyone holding you back?   What dietary supplements are you currently using?   How would you rate your ability to plan a dietary supplement program? Beginner Intermediate Advanced   How would you rate your ability to plan a workout routine? Beginner Intermediate Advanced
Planned Performance™ simplifies your life and accelerates your progress. How so? A sports nutrition-certified Performance Specialist will ensure that your BSN supplements are shipped approximately every thirty (30) days. To start simplifying your life and accelerating your progress, please take a moment to provide us with a few more peices of information.
What credit card will you be using to establish your Planned Performance™ account? Mastercard Visa American Express Discover   When do you want to sign up for Planned Performance™? YESTERDAY!! Today Tomorrow		How much are you willing to spend each month on BSN supplements? £50-£100 per month £100-£150 per month £150-£200 per month £200-£300 per month £300-£500 per monthh More than £500 per month   What is the best time of day for a Performance Specialist to call you? Morning Afternoon Evening
If you wish to be contacted by BSN via your e-mail in order for BSN to provide you with special offers on BSN products, to share news with you or a combination of the two please check this box (opting in). If you do not check this box you will not receive periodic e-mails from BSN.
Term Conditions and Reminders 1. Any changes to your next order must be received at least 72 business hours prior to the next ship date. This includes 30 day freeze’s or cancellation requests. All internet requests must be made directly to the assigned representative’s email address. For requests done via phone please call toll free to 877-673-3727 from 9pm till 6pm, Monday thru Friday. Unfortunately any changes, freeze or cancellation notices left on company/rep voice mail will not be accepted. 2. Due to the fact that BSN Planned Performance members will receive special discount pricing, promotional offers and gift sets, all Planned Performance purchases are non refundable. Depending on the circumstance a BSN product credit may be issued but must be approved by a supervisor. 3. Claims for damaged product must be made within 48 hours of their receipt. 4. With each order you will collect valuable BSN rewards points. BSN rewards points will become available for exchange of free BSN products once you have completed a full 16 weeks cycle. The only way you can lose BSN Rewards points is if the membership is canceled. 5. Please make sure to supply BSN with up to date shipping and billing information if you move residence or would like to have your shipment sent to an additional address. Many times clients will experience delays in delivery because they forget to call in a new credit card after their old card has either expired or unfortunately been misplaced or stolen. Credit card authorization will be done with the CV2 code on the back right of the card to insure efficacy.
I have read and agree to the above Rules & Regulations: