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Off-site Corporate Fitness Application   1) What is the name of your company? 2) How many employees are at your place of business? 3) Do you have any branches? If yes, how many total employees are at all branches including your corporate headquarters? Will you be opening this up to the other branches? 4) How do you plan on notifying your employees that the onsite program will be offered? Check all that apply Fliers Mention in employee handbook Payroll Stuffer Poster in kitchen or lunch room Interoffice Communication Wellness Fair Email Announcement Other: 5) How often will you be promoting this discount to your employees? Once a year Twice a year Monthly Weekly Seasonally Other: 6) Who will be our contact person? Please provide the following: Contact Name: Contact Title: Contact Address: Contact City: Contact State: Contact Zip: Contact Phone: Contact Fax: Contact Email:

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