Vendor title

Own a Powerhouse HEADING_TITLE

Thank you for your interest in joining the Powerhouse Gym family. 
In order to be able to give you the best possible service and support, we need some information to start the process.  We understand that you may be in the beginning phases and not have all the necessary information, so fill out this form with as much information as you currently have available.   A representative from our Licensing Division will contact you shortly after reviewing your information.

Contact Information
First Name:
Last Name:
Phone Number:
Email Address:
About You
Mailing Address:
Daytime Phone Number:
Fax Phone Number:
Alternative Email Address:
How did you hear about us? Internet Search
Thomas Plummer Seminar
Club Business International Magazine (CBI)
Fitness Management Magazine
Men's Fitness Magazine
Shape Magazine
IHRSA Trade Show
Current Member of Powerhouse Gym
Club Industry Trade Show
Referral from Current Powerhouse Gym Owner
Additional Information
If you answered 'Other', please let us know how you heard about us:
What stage of the planning process are you in? Gathering Information
Developing Business Plan
Looking for Location
Have you secured a building or property? Yes
What is your estimated time for opening?
How much personal capital have you allocated to your budget? Under $100,000
Under $500,000
Under $1,000,000
Over $1,000,000
What is your projected total budget? Under $300,000
Under $500,000
Under $1,000,000
Over $1,000,000
What city are you seeking to open a Powerhouse Gym?
What best fits the role you will play in this project? Owner / Operator
How Can Powerhouse Gym Licensing be of assistance for your project?
Verification Code: 55281
Enter Code:
Powerhouse Gym
Powerhouse Gym
Powerhouse Gym
- Nutrex 1
Powerhouse Gym
Powerhouse Gym