Name *
Phone Number
Cell Phone Number *
Whatsapp Number
Email *
Subject
Comments
Book your personal 30 minutes with us. Complete the form below and you will get the following:
Full Name *
Age (years) *
Your fitness goals at Curves(choose one or more) Improve my healthImprove my body shape and contourLose weight
How did you first find out about us? (choose one) Curves Facility SignFacebookInstagram & other Social MediaFriendsFlyersNewspaperYoutubeTv adsRadio adsOthers
Where have you seen Curves before? (choose one or more) Curves Facility SignFacebookInstagram & other Social MediaFriendsFlyersNewspaperYoutubeTV AdsRadio AdsOthers
Select Club Location * Curves Surya Sumantri BandungCurves Ciumbuleuit BandungCurves Sunda BandungCurves Kopo BandungCurves Otten BandungCurves Buah Batu BandungCurves Mekar Wangi BandungCurves Summarecon BandungCurves TasikmalayaCurves MOI JakartaCurves Kebayoran LamaCurves Summarecon BekasiCurves Terban YogyakartaCurves BSD TangerangCurves Kemang Pratama BekasiCurves GWalk SurabayaCurves Paramount SemarangCurves Tebet JakartaCurves Kemanggisan JakartaCurves Jakarta Garden City, Jakarta TimurCurves Pajajaran BogorCurves Gading SerpongCurves Elang Laut PIK, JakartaCurves Pettarani, MakassarCurves Margonda DepokCurves Grand WisataCurves Iskandar Muda MedanCurves Lebak BulusCurves Samarinda
