Submit Your "I Did It" Success Story

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SHARE YOUR WEIGHT WATCHERS SUCCESS STORY WITH OTHERS!

Please answer all questions and enter your information on the Publicity Consent form before submitting. Although we can’t guarantee you’ll be featured in any of our marketing or advertising, you’re chances will increase greatly if you:

Have Before and After digital pictures. Pleae make sure these are ready to upload. The higher the quality, the better.
Did not lose more than 2 pounds a week (on average) with Weight Watchers.
Attended meetings, and continue to attend meetings, regularly.
Are a member in southeast or northern Michigan, or southern/northern Ontario.
You’ve maintained your weight loss, if a LTM.
You’re within your BMI range for your height OR have a doctor’s note on file, if a LTM.

ABOUT YOU

	*Name:
	*Street Address:
	*City:
	*State:
	*Zip Code:
	*Email Address:
	Daytime Phone Number:
	Alternative Phone Number:
	Your Leader's Name:
	Where do you usually attend meetings?
	What day and time do you usually attend meetings: Your Meeting Day?
	*What did you weigh when you joined Weight Watchers?
	*How many pounds have you've lost with Weight Watchers to date?
	*What is your Goal Weight?
	*Are you a lifetime member?
	*What is your height?