 | |  | |  | |  | |  | |  | |  |
| COUNTDOWN |
| Mosier/Timperley Chiropractic Clinic 4645 Normal Blvd., Ste. 200 Lincoln, NE 68506 402-483-6633 402-483-6919 (fax) patients@mtchiro.net |
| WLC Entry page |
To register please select your t-shirt size below and click Pay Now. You will be
redirected to the PayPal website to make a secured transaction. After completion of
the PayPal ticket you will be brought back to our website to fill out a confirmation
page to gather name, phone, email and for you to select your initial weigh in time.
(t-shirts are not guaranteed if you register after Jan. 16th)
You may also fill out who referred you to the competition, remember if you have 5 or
more friends put your name in the Referred by: box, your entry will be refunded.
The person with the most referrals over 5 will win a special prize.
redirected to the PayPal website to make a secured transaction. After completion of
the PayPal ticket you will be brought back to our website to fill out a confirmation
page to gather name, phone, email and for you to select your initial weigh in time.
(t-shirts are not guaranteed if you register after Jan. 16th)
You may also fill out who referred you to the competition, remember if you have 5 or
more friends put your name in the Referred by: box, your entry will be refunded.
The person with the most referrals over 5 will win a special prize.
You may also fill out an entrance form at the clinic,
you may pay by check, cash or credit card at the clinic.
you may pay by check, cash or credit card at the clinic.
You may also fill out who
referred you to the
competition, remember if
you have 5 or more friends
put your name in the
Referred by: box, your
entry will be refunded. The
person with the most
referrals over 5 will win a
special prize.