Assignment 1

Get Your First Bonus Gift!

Here is your first assignment. When you submit it, you'll receive your first bonus gift.

	First Name*
	Last Name*
	Email*
	Phone*
	City*
	State*
	Country*
	Fax
	What changes would you like to see in your life as you turn your appetite switch off?*
	Are you aware of something inside you longing to be set free? If so, what?*
	Do you have a sense of what you really want to pursue if you had the energy and the resources? If so, what?*