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SOCAL ONLY: Is Your Spouse Making You Fat?!

Is your husband/wife or boyfriend/girlfriend making you fat?! Were you fit before you were with them, but now their bad food and exercise habits are influencing yours? Want to learn what you can do to get both of you back on track?

If so, we want to hear from you! Tell us a little bit about you and your significant other.

Tell us your story here:

Please type your contact information below:

first name:	*
last name:	*
birthday:	*
E-mail address:	*
street address:	*
additional address:
city:	*
state:	*
province/Region (if not in U.S.):
zip/Postal code:	*
country:	*
day phone:	*
evening phone:
cell phone:
are you willing to appear on the show:	Yes No *
children's ages?:

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