AnyWhereFitness.com | IFP Profile/Agreement

The information you provide below is used to best inform and/or place our clients with a suited Independent Fitness Professional that will address their specific needs.

Business Name:

Authorized Contact:

Address:

City & Zip:

eMail:

Home Phone:

Cell Phone:

Fax:

1. Are you currently working out of a facility? If so, list the name and location:

2. Give a brief description of your background and expertise -- add any special accomplishments or milestones:

3. List any specialty areas of fitness you would like to market:

4. Do you hold a current First Aid and CPR certification? Yes: No:

5. Do you have a web page? Yes: No:

6. Territory Designation:

List each county, along with each respective city/township, that you want designated as part of your territory:

County:
City/Twp - a.
City/Twp - b.

County:
City/Twp - a.
City/Twp - b.

etc. ...

7. NOTE: Under separate cover, please a photograph of yourself -- in Jpeg format -- to go along with your profile on our website and to create yourÊ I.D. badge.

Please enter any further comments here:

8. You must read our Authorization and Agreement before clicking the Submit Button below - Read Our Authorization and Agreement :: Click Here.
I have read and agree to the IFP Authorization and Agreement.

9. You must agree to our Code of Conduct before clicking the Submit Button below - Read Our Code of Conduct :: Click Here.
I have read and agree to the IFP Code of Conduct.