This form has two purposes:n1) Initial user signup.n2) Establishes recurring billing.
  • Password must be at least 7 characters or numbers.
  • Billing Information

    There is no monthly charge for Lifetime Fat Loss Center owners. We simply collect your credit card data now and charge your card later when you submit a patient analysis request.
  • Please enter your billing address.
  • This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes.
    American Express

  • Membership

  • Please read the Terms of Service from start to finish. You must scroll down to be able to sign up.