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We want to hear your “I AM KOSAMA” story! Tell us about your experience with Kosama and how your life has transformed. Fill out the form below and send us pictures to document the results.

Your Name (required)

Your Email (required)

Your Kosama Location (required)

Your Starting Weight (required)

Your New Weight (required)

What is the biggest and best change about your lifestyle since starting Kosama?(required)

What are some new hobbies and activities you enjoy doing since starting Kosama? (required)

Why would you recommend people join Kosama?(required)

Please attach a photo of yourself before you joined Kosama.

Please attach a current photo of yourself.

Your pictures may be used for upcoming Kosama promotions.