Register for Challenge 365

Registration Form

Name*
First Last
Name as it appears on Facebook
First Last
If you have a different name on Facebook than what is listed above, please add it here so you can be confirmed into the group.
Email*
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Birthday
MM slash DD slash YYYY
How many times have you participated in the Challenge Program?*
- I'm excited, this is my first time!
- Once before and I'm back again!
- I'm a rockstar, I've done it three or more times!
- I'm a trend-setter, I've done it all seven times!
Payment Schedule*
- All Year - $57
- Month-to-month - $9/month
Hidden
Registration - annual*
- Challenge 365 (2020) Membership - Annual
Hidden
Registration - monthly*
- Challenge 365 (2020) Membership - Monthly
Coupon Code
Total
$0.00
Credit Card
Card Details
Cardholder Name
Hidden
Membership Level*
- 2020 Challenge 365 Membership

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