Business Name *

Primary Contact Name *

First

Last

Title *

Email *

Phone *

Approximately how many employees would you like this partnership to serve? *

Please explain: *

Who would you like eligible for the corporate membership? *

Please explain: *

Would you like to extend the benefit to family members? *

Please explain: *

Would you like employees to be able to add additional family members at their own expense? *

How would you like membership eligibility handled when employees join or leave your company? *

Please explain: *

Which payment structure are you interested in? *

Employee-Paid — employees receive a special corporate rate and pay their own membership.
Company-Paid — the company pays the membership cost.
Shared Cost — the company pays a portion and employees pay the remainder.
Company Contribution — the company provides a set dollar amount toward each employee's membership.
I'm not sure — I'd like EveryDay Fitness to recommend an option.

If the company will contribute toward memberships, what monthly or annual budget have you set aside? *

Would you prefer the membership agreement to be: *

Which benefits are most important to your employees? *

Please explain: *

Are there particular wellness goals your company would like to support? *

Please explain: *

Would you be interested in adding company-specific fitness or wellness opportunities? *

Please explain: *

Would you like monthly reporting on employee participation? *

What would you like to track? *

Please explain: *

Would your company be interested in receiving advertising/visibility at EveryDay Fitness? *

Which would be valuable to your business? *

Please explain: *

Is there anything else you'd like your corporate fitness partnership to accomplish?

What would make this partnership a “win” for your company? *