Muscle Beach
®
, Inc. Application
Contact Information
First Name
Last Name
Date of Birth
Email
SSN (optional)
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code
Country
Home Phone
Business Phone
Cell Phone
General Information
How did you hear about our fitness businesses?
Direct Mail
TV / Radio
Web
Newspaper
Press Release
Trade Journal
Business Magazine
Friend
I'm a customer
Other
If other, please specify:
If you currently own any fitness businesses, please list the state(s) in which they are located.
Desired type of fitness business.
Gym
Fitness Center
Card Key Club
Athletic Club
Personal Training Studio
Men's Gym
Women's Fitness Center
Tanning Salon
Massage Studio
Sports Nutrition Center
Fitness Equipment Store
Other
Multiple Types
If other or multiple types, please specify:
Desired location(s). Please list the town / city and state where you want to operate your fitness business.
How many clubs do you currently own?
None
1
2
3
4
5
6 or more
How many additional clubs do you plan to open or convert?
None
1
2
3
4
5
6 or more
Liquid Assets
Checking Balance
$
Other Liquid Assets
$
Savings Balance
$
Total Net Worth
$
Briefly describe your business experience. (500 character maximum)
Company Information
I am applying on behalf of a company.
Company Name
Website
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code
Country
Your Title
I have the authority to sign a dealership agreement on behalf of my company.
Partner Information
Additional partners will be applying with this application.
Add Partner
Saved Partner(s)
First Name
Last Name
Email
Home Phone
Business Phone
Cell Phone