General Info:

Name:

Street Address:

City, State:   AL AK AS AZ AR CA CO CT DE DC FL FM GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY

E-Mail:

Daytime Phone #

Evening Phone #

Fax #

Best Method of Contact Phone E-Mail Fax Mail

Individual Stats:

Age:

Gender: Male   Female

Competitive Division: Bodybuilding    Fitness    Figure

Height: Current Weight:   Current Body Fat % (if known):

Date of last competition:

Weight in last competition: Body Fat % (if known):

Next event you plan to compete in:

Date of event:

# of years competing:   # of events competed in:

Have you ever worked with a contest prep consultant? NO YES

Name of consultant:

Where?

From the following list of services, please choose the area(s) of interest :

 competition diet   competition training   off-season diet   off-season training        

lagging body parts   injury rehab   suit selection   mandatory posing        

posing routine   fitness routine   stage presentation (figure)   tanning products & application

You may click the "Submit" button below to submit this form, or you can mail this form to the address below, along with any previous contest photos and current photos (dated on back), to:

Mpcontestprep.com
            929-G Concord Parkway S.
            Concord, NC 28027
            E-mail: morrisonproductions@ctc.net
            FAX:  704-785-9675 

**  Roger will contact you to set up your FREE initial consultation.