Nomber ______________________________________
Direkshon ______________________________________
Telefon (kas) ______________ Mob.: __________________
Email adress ______________________________________
Pa medio di esaki ami, sr./sra. __________________________ ta inskribi mi mes pa sekshon "trem bo mes fet". Kontribushon: Fl. 20,00
Ta risibi un rebaho personal di Fl. 5,00 na momentu ku intodusi entre 2-5 introdusido i Fl. 7,50 riba 6-9 introdusido
Kantidat di invitado personal _______
Dato personal di introdusidonan
Nomber/Fam Direkshon Tel. /KAS
1. _______________________________________________________________
2. _______________________________________________________________
3. _______________________________________________________________
4. _______________________________________________________________
5. _______________________________________________________________
6. _______________________________________________________________
7. _______________________________________________________________
8. _______________________________________________________________
9. _______________________________________________________________
Inskripshon ta ensera lo siguiente:
1. Peso i kalkulo di bo BMI (=Body Mass Index)
2. Introdukshon na sekshon di "trem bo mes fet"
3. Presentashon di programa di dieta "Trim Body System"
4. Oportunidat pa hasi pregunta
5. Oportunidat pa hasi pedido i traha bo prome sita
_______________
Firma
Sea bon di print e formulario aki i faks nos bo eksemplar via fax. nr.: (+599-9) 736-5731
Danki pa bo inskripshon!