YOU MUST COMPLETE THIS CLAIM FORM IN ORDER TO RECEIVE ANY BENEFITS. THIS CLAIM FORM MUST BE RECEIVED BY OCTOBER 15, 2007.

Name of owner of facsimile number:

_________________________________________________________________

Address:

_________________________________________________________________

Fax number (including area code):

_________________________________________________________________

Telephone number:

_________________________________________________________________

I submit this Claim Form under penalties of perjury and state that I am (or the business or entity I represent is) the only person or entity entitled to receive the settlement benefit being sought and that I (and/or the business or entity that I represent) had ownership, authority or control over the fax number listed above on or after November 7, 1999. I swear or affirm that I received the above-described facsimile advertisement on or after November 7, 1999 and I do not have an established business relationship with Body Wise International, Inc. or Diane Paulson. I also did not give consent to the sending of the facsimile to me.

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Signature

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Print Name

YOU MUST COMPLETE THIS CLAIM FORM IN ORDER TO RECEIVE ANY BENEFITS. THIS CLAIM FORM MUST BE RECEIVED BY OCTOBER 15, 2007.

RETURN TO: First Class, Inc.