15-Year-Younger Challenge form

Click here for the entry form in pdf form.

15-Year-Younger Challenge Entry form
Please print and fill out this form and return it to the store to enter our 15-Year-Younger Challenge. (Details)

Morgan Fitzgerald's 15-Year-Younger Challenge Entry form

Name ______________________________________________

Address ______________________________________________

______________________________________________

City ______________________________________________

Zip Code ______________________________________________

Phone ______________________________________________

Email ______________________________________________

Height ______________________________________________

Sizes:
blouse___________________________________________
pant _____________________________________________
shoe-size and width _______________________________

Favorite colors ______________________________________________

2. What has changed about your appearance in the last 15 years that you would like to reverse? ______________________________________________

______________________________________________

3. Your date of birth ______________________________________________

Children under the age of 13 may not submit this form.

Morgan Fitzgerald’s
3800 S. Texas Ave. Bryan, TX 77802-3712
shop@fitzyou.com (979) 268-0608 Toll free (877) 348-7935
We are open Monday through Saturday 10 am - 6 pm.