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Sex:
Man
Woman
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Name
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Surname
Address
Postal code
City
Phone
E-mail
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Date of birth
Who are you?
Gym goer / fitness fan
Les Mills fan
Les Mills club partner
Club Owner
Adidas / adiClub member
#LESMILLS+MEMBER
Les Mills instructor
Other (open to identify as they like)
Club Partner
Club Owner
Other
First Filming event?:
Yes
No
How did you hear about us?
On social media
At my gym
From my Instructor
Via a friend
Via Adidas
Where are you interested in?
Purchasing Les Mills Equipment at a discounted price
Purchasing LES MILLS LIVE Merchandise
Purchasing Adidas Apparel or Footwear
Becoming a Les Mills Instructor
Discussing a Les Mills Club partnership
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