CHANGE A LIFE WELLINGTON CONTEST NOMINATION FORM


Nominated Person:   Date of Birth:   Sex
   
Address:
Phone:   Email:
 
Nominator:
Address:
Phone:   Email:
 
In a paragraph tell us why this person deserves this life changing opportunity:
Please Attach A Head & Full Body Photo of The Nominated Person:
 

2nd Annual Change a Life Contest


Nominate yourself or a deserving individual to win a makeover which includes the following:

  • 3 Month Medical Weight Loss Program
  • Hair & Make-up
  • Dental Treatment Up to $6000
  • Lipo-Light Body Sculpting Therapy
  • New Outfit
  • One Free Area of Botox
  • Specialty Facial
  • Massage
  • Annual Health Club Membership with Personal Training Sessions

Contest starts May 28, 2013 Deadline to enter June 14, 2013

Winner will be selected at the Change A Life Event
June 20, 2013  6:00-8:00PM

2615 S. State Rd 7 , Wellington, FL  33414

Up To $10,000 In Prizes