Program Registration

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Select programs.

• Cleanse and Weight Loss Program
  4 week food based cleanse and detox.Cleanse and Weight Loss - $295
• How did you hear about the Synergy3 Program? *
  Daryl MossStacy Hendrie Other - Please fill in box.
• First Name *
• Last Name *
• Email to receive program information *
• Cell Phone *
• Consent and disclaimer - *
  All Synergy3 Programs and any consultations that are part of the programs are not meant to diagnose, cure, or treat any disease or ailment, nor are they a substitute for medical care. All participants, especially those with health issues, are urged to contact their primary health care provider regarding dietary and nutritional changes. In consenting to do this program, I understand that I take full responsibility for the outcome and any side effects that may occur. All Synergy3 E-guides, recipes and all documentation supplied are proprietary and copywrite laws apply. These may not be reproduced or shared.I agree and accept these terms and conditions.
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