Franchise Information Request
Personal Information
First Name: Middle Name: Last Name:
Are you a US Citizen?: If no, what country?: Date of Birth:
Yes       No (MM/DD/YYYY)
Residence Address: City, State: Zip Code:
,
How long have you lived at this address?:
Best Phone Number to reach you: Home Phone:
Cell Phone: Fax:
Email Address: Are you married?
Yes       No
  If Yes, Please list spouse name:
 
Education
High School:
(Highest grade or degree attained)		 Junior College/Tech:
(Highest grade or degree attained)		 College:
(Highest grade or degree attained)
General Information
Have you ever visited a Nitro Fitness For Men?: What is your timeline for getting started?
Yes       No
Do you have fitness experience?: What kind of experience?:
Yes       No
Are you looking to run the business yourself?: Will you have other owners/partners?:
Yes       No Yes       No
  If yes, who are they?:
 
Why do you desire to join the Nitro Fitness For Men team?: What city or town are looking to develop a Nitro Fitness For Men in?:
1st Choice:
2nd Choice:
Are you looking for a single store development?: Are you looking to become an area developer?:
Yes       No Yes       No

How did you hear about Nitro Fitness For Men?:

  
 
Employment Information
Are you: Or are you:
Employed        Self Employed
Please answer employment questions below. 		Unemployed        Retired
Please skip financial section.
Name of Company/Employer: Type of Business:
Position:  
 
Name of Company/Employer: Type of Business:
Position:  
 
Name of Company/Employer: Type of Business:
Position:  
 
Assets
Total Liquid Assets Available:
(e.g. cash, stock, bonds, mutual funds) 		Total Tangible Assets:
(e.g. house, car, business, etc.)

($50,000 Liquid Capital Required)
Total Liabilities:  
($200,000 Total Net Worth Required)
If you don't meet our financial requirements we ask that you explain how
you will fund your Nitro Fitness For Men business:
Legal Information
Are you currently involved in any lawsuits?: Have you ever filed for bankruptcy protection?:
Yes       No Yes       No
If yes, identify discharge date:
(MM/DD/YYYY)
Are you or anyone in your immediate family a partner or owner (partial
or otherwise) of a fitness related business?:		 If yes, list name of business and family relationship:
Yes       No
Are you or anyone in your immediate family employed by a fitness type
of business?: 		If yes, list name of employer and family relationship:
Yes       No
Are you or anyone in your immediate family currently under any form of non-competition agreement that limits your right to operate any business?: If yes, list name of employer and family relationship:
Yes       No
Have you ever been convicted of a felony?:  
Yes       No  
References (Please complete all three entries.)
Name: Relation of this person to you:
Years you have known this person: Phone Number and Area Code:
Name: Relation of this person to you:
Years you have known this person: Phone Number and Area Code:
Name: Relation of this person to you:
Years you have known this person: Phone Number and Area Code:
Terms & Conditions

I understand that the granting of a franchise is at the sole discretion of the Franchisor (Nitro Fitness For Men) I understand that the information I am receiving from Nitro Fitness For Men, or from any Nitro Fitness For Men associate, employee, agent, or franchise is highly confidential, has been developed with a great deal of effort and expense to Nitro Fitness For Men, and is being made available to me because of this application, and will be held in strictest confidence.

I will not divulge or use any data, customer or employee names and addresses, techniques, methods, advertising materials, forms, or other information of whatever kind recceived from the Franchisor without consent. I authorize the procurement of an investigative consumer report and understand that it may contain infromation about
my background, character, general reputation, mode of living, credit worthiness and job performance. I understand that, upon written request within a reasonable period of time, I am entitled to additional information concerning the nature and scope of this investigation. I hereby release Nitro Fitness For Men, its representatives, and their officers, agents, employees and servants from any liability arising from or relating to the preparation of this report or investigation relating thereto.

This authorization for release of information includes but is not limited to matters of opinion relating to my character, ability, reputation and past performance. I authorize all persons, schools, companies, corporations, financial institutions, credit agencies and bureaus, courts, and law enforcement agencies to release such information without restriction or qualification to Nitro Fitness For Men, its representative, or any of their officers, agents, employees and servants. I voluntarily waive all recourse and release them from liability fro complying with this authorization, and I hereby realease
Nitro Fitness For Men, and its representatives, and their officers, agents, employees, and servants, from any liability on account of the provision of such information or the use of such information in connection with this application. This authoriztion/release shall apply to this as well as any future request for an investigative consumer report by Nitro Fitness For Men I authorize that a photocopy or facsimile of this release be considered as valid as the orginal.

I have read this application and everthing I have stated in it is true. Additionally, I understand the filing of this application does not obligate me the applicant to purchase or the franchisor to sell a franchise. I understand that the information provided by me will be relied upon by the Franchisor. I certify that the statements in this application are complete, and I have not withheld information affecting my reputation or credit standing.
I accept the above terms:
Yes       No