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  • Whatdietfoodsform

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    api-299714344
    19 vizualizări3 pagini
    _______________________________ Do You Exercise regularly?: __ __________________________ __ __ 1 2 3 Protein Choices: _____________________ chicken, beef, pork, turkey, veal, tuna, salmon, Cod and Tilapia Produce Choices: Broccoli, brussel sprouts, cabbage, celery, eggs, peas, Radishes and Potatoes. Carb Choices: whole Wheat pasta, multigrain

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    whatdietfoodsform

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    _______________________________ Do You Exercise regularly?: __ __________________________ __ __ 1 2 3 Protein Choices: _____________________ chicken, beef, pork, turkey, veal, tuna, salmon, Cod and Tilapia Produce Choices: Broccoli, brussel sprouts, cabbage, celery, eggs, peas, Radishes and Potatoes. Carb Choices: whole Wheat pasta, multigrain

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    19 vizualizări3 pagini

    Whatdietfoodsform

    Încărcat de

    api-299714344
    _______________________________ Do You Exercise regularly?: __ __________________________ __ __ 1 2 3 Protein Choices: _____________________ chicken, beef, pork, turkey, veal, tuna, salmon, Cod and Tilapia Produce Choices: Broccoli, brussel sprouts, cabbage, celery, eggs, peas, Radishes and Potatoes. Carb Choices: whole Wheat pasta, multigrain

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca DOCX, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 3

    Name:

    _________________________________________
    Male / Female
    Age:_________
    Bill To / Ship To Address:
    ___________________________________________
    ___________________________________________
    ___________________________________________
    ___________________________________________
    __
    Phone Number:
    ______________________________________
    Name On
    Card:_____________________________________
    __
    Card Number:
    ________________________________________
    Card Expiration: ______ / ______
    CVS: _ _ _
    Any Specific Allergies?:
    ______________________________

    Do you Diet regularly?:


    ______________________________
    Do You Exercise
    regularly?:__________________________
    How did you hear about us?:
    ________________________

    Package #: __
    1
    2
    3
    Protein Choices: __ __ __ __ __ __ __ __
    1.Chicken2.Beef3.Pork4.Turkey5.Veal6.
    Shrimp7.Crab8.Tuna9.Salmon10.Cod11.Trout
    12.Tilapia

    Produce Choices: __ __ __ __ __ __ __ __ __
    __
    1.Broccoli2.BrusselSprouts3.Cabbage4.Lettuce5.
    Carrots6.Celery7.Eggplant8.Peppers9.Onions
    10.Squash11.Greens12.Cucumbers13.Mushrooms

    14.Cauliflower15.Radishes16.Peas17.Edamame18.
    Potatoes

    Carb Choices: __ __ __ __ __ __ __ __
    1.WholeWheatPasta2.MultigrainPita3.Spinach
    Wrap4.BrownRice5.MultigrainRice6.Quinoa
    7.SweetPotatoes8.RyeBread9.WheatBread

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