Stress Less Community Cleanse 

NEw dates: May 29 through june 1, 2018


Name *
Best Phone to Reach You *
Best Phone to Reach You
We will only use this number to collect payment for your cleanse and text/call in the event that we are unable to reach you via email regarding this cleanse.
Did you participate in our SuperFuel Community Cleanse?
Our team (Jessica Ann or Marisa Moon) will send you a friend request. Once you accept, they will be able to add you to the private Facebook Group where you can exchange ideas, concerns, and inspirations with other cleansers doing the community cleanse with you. Hi-Vibe's cleanse experts will be there posting daily too!
Have you ever cleansed before? *
Are you available to pick up your cleanse contents each day: May 28 or 29th through June 1? *
We recommend that all cleansers pickup their fresh goods daily. Store Hours: Kinzie M-F 6:30a-6:00p, Special Memorial Day Hours 8a-4p, Sat-Sun 8a-4p; Merchandise Mart M-F 7a-4p, Sat-Sun Closed. Memorial Day closed.
Select a Location to Pickup Your Cleanse Contents *
I understand that this cleanse is being "juiced" just for me. The dates cannot be changed within 24 hours of Day 1 of my cleanse, and any juices left behind will be discarded. *
Are you interested in 1-on-1 health coaching either to help maximize the benefits of your cleanse or to achieve other health-related goals? *
Hi-Vibe's Registered Dietitian Nutritionist Jessica Dogert, and Primal Health Coach Marisa Moon, are available for private health coaching sessions. During these sessions, the coach of your choosing will help you to specify your wellness goals, unveil your obstacles, and customize an approach to make lasting change regarding your health.
Thank you for completing this form. Our team will be contacting you within 48 hours to collect your payment. Check this box to confirm that you understand your spot in this Community Cleanse is not secured until you have made your payment. *
Skip a step and call Hi-Vibe during business hours to make your payment now: 312-724-VIBE (8423) Or stop in at either store to complete this process.