Cambridge Weight Plan

UK Consultant request form

Take the first step towards a new you NOW!
You can obtain the Cambridge Weight Plan throughout the UK, Ireland, and BPFO Germany from accredited Cambridge Consultants. For information about your nearest Consultant, please complete the form below and click on the SEND button.

This facility within our Cambridge Weight Plan site is totally secure and your data will only be viewed in the strictest confidence by Cambridge Weight Plan.

Title:
Forename:	*
Surname:	*
Address:
Postcode:	*
Home Phone Number:	*
Fax Number:
Email address:	*
If you would prefer to see a Consultant in an alternative postcode, e.g. where you work, please enter here:
Date of Birth:
Height:	Feet Inches Or Metres
Current Weight:	Kg Stone
Have you used Cambridge Weight Plan before?:	Select An Option Yes No
Where did you find out about Cambridge Weight Plan?:
List all the diets you have used before: Your Consultant will ask you other questions to recommend the most appropriate programme for you.
How would you like us to contact you?:	Please Select An Option Phone Email Fax
Whichever method of contact you prefer please make sure you have supplied the relevant number or address. Thank you for taking the time to complete the form. We will be in touch as soon as possible. By submitting this form you agree that you have read, understand and accepted our Privacy Policy

If you prefer not to send the form, you can contact us direct on Freephone: 0800 161412 (Within UK Only)

Or 01536 403344/Fax: 01536 202396
Post: Cambridge Weight Plan, Clare House,
Hunters Road, Corby, Northants NN17 5JE