inquiry.asp
Membership Inquiry

1800 Broadway, Suite 190 • Boulder, CO 80302 • 303-447-8545

Please fill out this form to have a One Boulder Representative contact you about joining.

First Name (Required)


Last Name (Required)


Email Address (Required)


Mailing Address (Required)


City (Required)


State (Required)


Zipcode (Required)


Home Phone (Required)


Work Phone


Occupation / employer


Age (Required)


How did you hear about One Boulder Fitness?
Check all that apply
Newspaper
Mailer
Television
Event
Guest Pass
Corporation
From a Member
Other

Name of Referring Member

Have you been a member of a fitness club before? (Required)
Yes No

What are your goals?
Check all that apply.
Losing Weight
Muscle Size Increase
Muscle Strength Increase
Firming and Toning Muscles
Stress Management
Cardiovascular Conditioning (Wind and Endurance)
Sports Training

Other: