BSN Planned Performance

*First Name:

*Last Name:

*Gender:

*Married or single:

*Weight (in lbs):

*Birth date: mm/dd/yyyy

*Height (feet - inches):

*Where did you first hear about BSN?:

*Primary E-mail Address:

Secondary E-mail Address:

Direct/Cell Phone Number:

- -

*What is your time difference in hours from Miami (Eastern Time Zone)?

Please enter your Credit Card Billing Address

Billing Street:

Billing Apt #.

Billing City:

Billing State:

Billing Zip Code:

Shipping Street:

Shipping Apt #.

Shipping City:

Shipping State:

Shipping Zip Code:

PHYSIQUE GOALS:

*What is your desired body weight? (in lbs):

*How much body fat do you wish to lose?

*How important is this goal to you?

*How long have you wished to achieve your goals (i.e. gaining muscle and/or losing body fat)?

*What has held you back from achieving your goals to date? (select the most important one)

*What do you most like about your body?

*What areas of your body do you most want to change?

*How much lean muscle do you wish to gain?

*Over what time frame do you want to achieve your goals?

If a Performance Specialist were to get you started on Military Planned Performance™ today, is there anything or anyone holding you back?

*What dietary supplements are you currently using?

*What credit card will you be using to establish your Military Planned Performance™ account?

*How much can you spend on your 12-week program? (This will help the Planned Performance Specialist to provide the best possible options respective to not only your physical goals, but rather your wallet too.)

*How many people will be receiving a 12-week BSN Supplement Stack?

*How often do you check your e-mails?

If you wish to be contacted by BSN via your e-mail in order for BSN to provide you with special offers on BSN products, to share news with you or a combination of the two please check this box (opting in). If you do not check this box you will not receive periodic e-mails from BSN.

Term Conditions and Reminders

1. Any changes to your monthly order must be received at least 72 business hours prior to your next shipment date. This includes 30 day freezes, cancellation requests or changes to your shipment (i.e. removing a supplement from your order or flavor changes). Requests for freezes, cancellations or changes are not accepted via e-mail or voice mail. Please direct all requests to our customer maintenance department toll free at 877-673-3727 x210 from 8am till 6pm, Monday thru Friday.    
 
2. Due to the fact that BSN Planned Performance members will receive special discount pricing, promotional offers and gift sets, all Planned Performance purchases are non refundable. Depending on the circumstance a BSN product credit may be issued but must be approved by a supervisor.

3. Claims for damaged product must be made within 48 hours of their receipt.
 
4. With each order you will collect valuable BSN rewards points. BSN rewards points will become available for exchange of free BSN products once you have completed a full 16 weeks cycle. The only way you can loose BSN Rewards points is if the membership is canceled.
 
5. Please make sure to supply BSN with up to date shipping and billing information if you move residence or would like to have your shipment sent to an additional address. Many times clients will experience delays in delivery because they forget to call in a new credit card after their old card has either expired or unfortunately been misplaced or stolen. Credit card authorization will be done with the CV2 code on the back right of the card to insure efficacy.

*I have read and agree to the above Rules & Regulations:

*IMPORTANT (PLEASE READ): Military Planned Performance™ shipments can take 2-3 weeks or longer for delivery. We can only guarantee that the order was shipped out of the port of Miami to the country of origin. Unfortunately BSN is be unable to provide detailed tracking information (e.g. tracking numbers) once the order is outside of the United States. For this reason we advise that you only join Military Planned Performance™ if you are certain that you will be at your current address for at least the next 4 weeks, and can easily communicate via e-mail.