CONTACT INFORMATION
Name: (First and Last Name)
Street Address:
City: State:
Zip Code:
Home Phone
Work Phone
Best time to call:
choose one Mornings
Afternoons Evenings
Weekends Any Time Weekdays
Anytime
Email:
Do you currently exercise?
Yes No
Do you or have you belonged to a fitness club before? Yes No
If yes, which one?
What are your fitness goals? (check all that apply):
General Fitness
Improve Health
Sports/Performance
Fitness
Weight Loss
Stress Reduction
Other
Primary areas of interest (check all that apply):
Aquatics/Pool
Weight
training
Group
exercise
Personal
Trainers
Pilates
Yoga
Day Spa
Therapy
services
Racquetball
Tennis
Rockwall
Martial
Arts
Kids/Teen
programming
Life
Coaching
Other
How did you first find out about Big Vanilla Arnold?
choose one
Member
Sign
Capital Newspaper
Pennysaver
Internet Search Engine
Bigvanilla.com website
Another website
Flier
Direct Mail
Word of Mouth
Last updated on August 14, 2010.