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