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2 forms found in the DOM

POST process_payment.php

<form action="process_payment.php" id="paymentForm1" class="paymentForm" data-form-id="1" method="post">
  <div class="form-group">
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    <div class="err"></div>
  </div>
  <div class="form-group">
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  <div class="form-group">
    <input id="phone1" name="uphone" class="form-control sdr-frs" type="tel" required="" minlength="10" maxlength="15" oninput="this.value = this.value.replace(/[^0-9]/g, '');" value="" placeholder="Phone No.">
    <div class="err"></div>
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  <div class="form-group">
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  <div class="form-group">
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  <div class="form-group">
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    <div class="err"></div>
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  <div class="form-group">
    <textarea id="txt_Message_7" class="form-control sdr-frs" name="umsg" placeholder="What is the target weight loss you are looking for?"></textarea>
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    <input type="hidden" id="amount1" name="amount" value="99">
    <input type="hidden" name="razorpay_payment_id" id="razorpay_payment_id1">
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  <div class="form-group">
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</form>

POST process_payment.php

<form method="post" action="process_payment.php" id="paymentForm2" class="paymentForm" data-form-id="2">
  <div class="row">
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      <input id="email2" type="email" name="uemail" class="form-control sdr-frs" value="" required="" placeholder="Email">
      <div class="err"></div>
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    <div class="group-img col-md-6">
      <input id="phone2" name="uphone" class="form-control sdr-frs" type="tel" required="" minlength="10" maxlength="15" oninput="this.value = this.value.replace(/[^0-9]/g, '');" value="" placeholder="Phone No.">
      <div class="err"></div>
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    <div class="group-img col-md-6">
      <input type="number" id="age2" name="uage" class="form-control sdr-frs" placeholder="Age" value="" required="">
      <div class="err"></div>
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    <div class="group-img col-md-6">
      <input type="number" id="weight2" name="uweight" class="form-control sdr-frs" placeholder="Weight" value="" required="">
      <div class="err"></div>
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    <div class="group-img col-md-6">
      <select name="ugender" id="gender2" class="form-control sdr-frs">
        <option selected="" disabled="">Gender</option>
        <option value="Male">Male</option>
        <option value="Female">Female</option>
      </select>
      <div class="err"></div>
    </div>
    <div class="group-img col-md-12">
      <textarea id="txt_Message_7" class="form-control sdr-frs" name="umsg" cols="30" rows="5" placeholder="What is the target weight loss you are looking for?"></textarea>
      <div class="err"></div>
      <input type="hidden" id="amount2" name="amount" value="99">
      <input type="hidden" name="razorpay_payment_id" id="razorpay_payment_id2">
    </div>
    <div class="form-groupcol-md-12">
      <input type="submit" name="btn3" id="submit-btn" class="btn btn-green ftr-btn1" value="Submit">
    </div>
  </div>
</form>

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HOLISTIC WELLNESS NOURISHING YOUR MIND, BODY, AND SOUL.

Get a health evaluation session


GET A PERSONALIZED GUIDANCE

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ABOUT HOLISTIC WELLNESS HUB



Holistic Wellness Hub is a personalized and community-based weight management
and peer support program. We are a group of nutrition coaches. We have helped
hundreds of individuals and families reach their best health, without crash
diets or excessive exercise .


OUR HEALTH PHILOSOPHY AND APPROACH

Your health is a result of maintaining a balance in 3 things – Exercise, Sleep
and Diet. Diet constitutes around 70% to your weight loss journey and exercise
and diet 20% and 10% respectively.

 * 1. As a member of our nutrition and fitness community, you will get the
   following support.
   * a. Online club session- morning and evening
   * b. Exercise with us in the club- easy to do- and interact with online
     community.
   * c. You will get personalized diet plan and soon call support.
 * 2. You are expected to be regular with your diet as per our advice and attend
   the club daily.
 * 3. Be Patient and keep the faith, weight loss will follow.
 * 4. You can lose between 3-5 kgs in first month, results vary as per
   individual. 7- 10 kgs can be targeted in 3 months.
 * 5. We did not give any starvation diets – you will eat as many as 5 meals a
   day.
 * 6. We have a very high success rate- only caveat is that you need to give us
   at 3 months of your dedication.

‘If you want something you’ve never had, you must be willing to do something
you’ve never done’

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GET A FREE HEALTH EVALUATION SESSION

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OUR SERVICES




WEIGHT LOSS- PERSONALIZED GUIDANCE

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LONG TERM WEIGHT MAINTENANCE

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ATTEND A SESSION

Are you struggling with weight issues, lethargy and an erratic lifestyle?

Do you want to reduce weight, understand how good nutrition works and to attain
good health?

JOIN OUR EYE OPENING, LIFE ALTERING WEBINAR

> HOW TO LIVE YOUR BEST LIFE AND ATTAIN GOOD HEALTH
> 
> We will teach you how you can attain your ideal weight, without fad diets,
> naturally with good nutrition and to sustain it over time.

ON THE RIGHT SIDE WILL BE FOR, SUBMISSION TO REGISTER – CURRENTLY UNDER
MARATHONS

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VIDEO TESTIMONIALS




TESTIMONIALS


OUR CLIENTS LOVE US



I tried Holistic Wellness for weight loss help. Their plan was just right for
me. I lost 47kgs and feel great. And that too without giving up on my favorite
cup cakes! It’s like having a coach who really understands you!



– MR HITESH



The online club from Holistic Wellness was awesome. I got real support from
others trying to lose weight, just like me. It made a big difference having
people cheer me on!



– MR SRK



Holistic Wellness’s long-term plan for keeping weight off worked wonders. I
learned how to maintain my weight loss without stressing. It’s been easy to
stick with their advice and stay on track.



– MS APARNA



Get a free health evaluation session.
Regardless of the weight you wish to lose, we have a customized solution for
you.


CONTACT US

Sakshipandit03@gmail.com

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