Basic Fitness Directory Listing Application Form

Valid for 2 years. Your listing will include name and/or business name, suburb and mobile number. Will be listed under one suburb and your region. If you would like to be listed under additional suburbs, the cost is $20 per suburb

Example

Train Personal Fitness
Ashfield NSW 2131
Mob: 0422 732 791

STEP 1- Listing Information

Please fill in the form below and submit your details for your basic personal trainer directory listing.

Full Name

*
(Name required for office use only. Will not be displayed online)

Email Address

*
(Email required for office use only. Will not be displayed online)

Business Name or Trainer Name

(To be displayed online)

ABN

(ABN required for office use only. Will not be displayed online)

Address

(Address required for office use only. Will not be displayed online. Choose another listng type)

Surburb (for listing)

Region (for listing)

Has to be the region of your listing suburb.

Phone #

Include area code e.g. 02 9999 9999

Fax #

Include area code e.g. 02 9999 9999

Registered fitness professional with Fitness NSW?

Yes No

If Yes, Membership #

(Required for office use only)

Extra Suburbs

Would you like to be listed under more suburbs for an additional $20.00 ea? Yes No

Suburb 1 + $20.00 = $90.00

Suburb 2 + $40.00 = $110.00

Note: Please choose correct 'Extra Suburb' option on the following page or your additional suburbs will not be displayed.

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