Our core purpose is to create a fitness experience that helps people get the most out of life.

PERSONAL INFORMATION      
*Name: *Date:
*Address:

*How Long?

*City/State/Zip: *Rent or Own?
*Phone: Fax:
*Email    
YOUR EMPLOYMENT AND INCOME INFORMATION      
*Current Employer: *Position:
*Address: *Phone:
*Length of Employment: Annual Income:
       
FINANCIAL INFORMATION      
*How will you finance the project?    
*How much money (equity, debt or both) do you have to invest in the business?    
*Do you have a line of credit available for this business? $ If so, how much? $
What is your net worth (assets minus liabilities)?    
       
FITNESS CENTER INFORMATION      
*Geographic ares you are interested in (Be Specific): *Have you found a building location?
Is it an existing location or do you plan to construct? *Have you signed a lease?
How many square feet are you planning on? Proposed opening date:
       
PREVIOUS EXPERIENCE      
*Have you ever owned a gym? If so, how long?
*Have you ever managed a gym? If so, how long?
*List all previous experience & additional comments: *How did you hear about the BodyPlex Licensing Program?