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Health Club Access

IMPORTANT....

YOU MUST COMPLETE BOTH SIMPLE STEPS BELOW TO GET ACCESS TO EVERYTHING IN YOUR SUBSCRIPTION:

STEP #1 - COMPLETE THE FOLLOWING FORM:

(Get Benefit Relief Services: Teledoc, Nurseline, Dental Benefit, Vision Benefit, Medical Bill Saver, Medical Health Advisor, Hearing Aid Savings, Vitamin Savings) Completing this form will give us the required information to get started setting up each account. You will be mailed a member book explaining how to use each benefit above. Expect the book to arrive in 8-15 business days upon completing this form.

 

First & Last Name (Exactly How You Want it on Your Benefit Card):
Complete Street Address (US Residents Only):
Primary Phone Number:
Primary Email Address:
Date of Birth:
Spouse / Dependent (Limit: 4):
Who (if any) Referred You To Subscribe?:
 

 

 

STEP #2 - COMPLETE THE FORM BELOW:

(BrilliantHealthandFitness.com Services: Wellness Coach Consultation, Rx Discount Card, Store Coupons, Newsletter, Vacation Vouchers, Educational Emails) Completion of this form gives us the required information to immediatly get you started with the benefits outlined below. Once completed, you can expect to see informaiton in your email inbox almost immediatly. Additonally, you can expect to receive a welcome call from Michael Cummings, Founder of BrilliantHealthandFitness.com within 3 business days to welcome you to the club and answer any questions you may have. 

Complete Your HEALTH CLUB Registration
Wellness Coach Consultation
Rx Discount Card
Brilliant Health & Fitness Store Coupons
Health eBook Club
Health & Fitness Newsletter
Vacation Vouchers
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Enter your details below to complete sign up:
 
 
 
 
 
 
We respect your privacy. Your info will never be shared.

 

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