UniversalBodyFitness.com

APPLICATION / AGREEMENT FOR UNIVERSAL BODY FITNESS LLC

Date of Application: Date You Can Start:

*MALE or FEMALE*

Universal Body Fitness

Professionals & Entrepreneurs In Business

PLEASE SELECT THE BOX(S) THAT YOU ARE INTERESTED IN:

PLEASE FILL IN YOUR INFORMATION

Application Full Name:

Address:

Contact Name:

City: State: Zip Code:

Phone: Area Code - Ext: 1-800 or 888: -

Fax: Area Code - E-mail:

Web Site:

How did you hear of our company?

*FITTING INFORMATION*

HEIGHT: FT. IN WEIGHT: LBS. EYE COLOR:

SHIRT SIZE: PANT SIZE: SHOE SIZE:

T-SHIRT SIZE: HAT SIZE:

Are you under any contact at this time: YES: NO:

If yes, please put down the name of the agency or client (s):

Have you been convicted of any crimes: YES: NO:

If so, list offense (s) and date:

Personal Info

Tell us about yourself:

Please tell us why you think you would be a good candidate for Universal Body Fitness:

Company / Business Info

Name of your Company / Business:

State your Company / Business is Registered in:

Your Company / Business web site address:

Year your Company / Business opened:

I certify/agree that all of the information on this application is accurate and true to the best of my knowledge.

Applicant Type Signature:

Please submit along with your application a recent 4x6 color photo of yourself.

Your photo will not be return and will be kept on file by Universal Body Fitness.

Color Photo - A jpg. picture format size image not to exceed ( Pixels - Width: 640 )

Web page publishing and graphic design by: Leis Of Hawaii

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