17627 Ventura Blvd., Encino, CA 91316 Tel: (818) 986-7212 

Please take a moment to fill in the following form.*A representative from our Curves club will contact you to answer any questions and confirm the best appointment time and day for you - and remember, it's more fun if you bring a friend.
* Required
* My first Name:
* My last Name:
* My email address:
* Verify email address:
* My phone number:
* My mailing address:
* My city & zipcode:
My main interest:
(Check MAIN interest)
Losing Weight Getting Fit Toning Firming
I would also like to:
(Check as many as you want)
Lose Weight Get Fit Tone Firm
Some of my concerns:
(Check as many as you want)
The time commitment I'll have to make
The cost of a membership
I have never joined a health club - the equipment intimidates me
I'm too old
I'm too embarrassed about my present weight to join
Best time to contact me:
Day Evening Anytime
*Contact me by:
Phone Email No Preference
I would like:
A FREE WEEK your Curves
Set up an appointment TODAY and select what you'd like included in your visit.
I'd like my visit to include:
(select any/all)
A tour of the facilities
My FREE Figure Analysis
A demonstration of the NEW CurvesSmart equipment
Best appointment time for me:
Best appointment day for me: