Club Profile

Please fill out the Health Club Profile below and a Premier Fitness consultant will respond immediately.


Fields with * are required.

* Required Field  
Club Name *    
Club Phone *  
   ( Please Include Area Code )
Club Address  
City  
State  
Zip  
Owner's Name *   
Owner's Phone
   ( Please Include Area Code )
Owner's Alternate Phone
   ( Please Include Area Code )
Email *     
Website Address  
Number of Current Members  
Number of Expired Members in Last 36 Months  
Square Footage of Facility  
Male/Female Ratio  
Average Monthly Membership Cost  
How long has this facility been under the present ownership?  
Manager's Name  
Has this club ever participated in any other promotions? Yes
If so, what type?  
Describe club memberships and rates  
Check the following accepted at your club
(Hold Control to select muliple)
Club Hours  
Club's yearly gross in membership sales
(12 month period) 		 
Number of telephone lines  
Check all the following amenities that are available at your facility:

(Hold Control to select muliple)		  
List any additional amenities
Comments, questions or remarks
How did you hear about us?
If "Other" please specify