Thank you for your interest in our Affiliate Membership Program.

Please complete the following fields to become an Affiliate Member.

Fitness center name:

Phone:

Street Address:

City:State: Zip:

Management

Owner (a)

First Name: Last Name:

Owner (b)

First Name: Last Name:

Owner (c)

First Name: Last Name:

Manager:

First Name: Last Name:

Director:

First Name: Last Name: :

Facility

Facility Total Square Footage:

Free Weight Space Total Square Footage:

Mechanical Machines Total Square Footage:

Cardio Space Total Square Footage:

Aerobic Floor Square Footage:

Main Lobby square Footage:

Showers

Dry Sauna

Steam Room

Jacuzzi

Swimming Pool

Basketball

Racquetball

Massage

Dining Area

Juice Bar

Snack Bar

Kitchen

Apparel Store

Hydro densitometry Weighing

Body Analysis

Cardiovascular Equipment

Stationary Exercise Bike

Manufacturer (a)How many?   Year purchased

Manufacturer (b)How many?   Year purchased

Recumbent Exercise Bike

Manufacturer (a)How many?   Year purchased

Manufacturer (b)How many?   Year purchased

Treadmill

Manufacturer (a)How many?   Year purchased

Manufacturer (b)How many?   Year purchased

Elliptical

Manufacturer (a)How many?   Year purchased

Manufacturer (b)How many?   Year purchased

Step/Stair Machine

Manufacturer (a)How many?   Year purchased

Manufacturer (b)How many?   Year purchased

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo