30 Day Holiday Challenge Application

Did anyone refer you to this site? If yes, please enter his/her name

Referral:
First Name:
Last Name:
Age:
Gender:
City:
State:
Zip:
Region:
Country:
Phone:
Email:
Skype:

Please tell us why you want to join Danetteā€™s challenge and what you would like to achieve:

Do you agree to provide regular updates to Danette on your progress?

When you click the submit button below, you will be contacted within 24 hours to schedule your call with Danette's Team to officially join the challenge and to purchase your supplements.

By submitting this application, you agree to hold Danette May and Mindful Health, LLC and it's related entities harmless. You further understand that any information you receive from Danette May should not be considered medical advice. It is recommended that you consult a physician before starting any nutrition or fitness plan.