Holiday Health Bet Application
Please Fill out the following information to request access to the Holiday Health Bet.  An Invoice for the $10 will be sent to the email address provided below within 24 hours.  Once you have submitted your $10 Bet you will be sent information on how to access the group as well as your Free Healthy for the Holidays e-cookbook.  Please make sure you check your spam!
Sign in to Google to save your progress. Learn more
Name (First & Last) *
E-mail address *
Facebook Profile Name *
Why do you want to join the Holiday Health Bet? *
Where did you hear about the Holiday Health Bet? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms