Are you a certified instructor? Are you a personal trainer, group exercise instructor, yoga teacher, pilates teacher or other certified fitness professional?

Then this is the membership program designed especially for YOU. Laura Mak would like to award you a complimentary membership into her “Instructors Club”.

Instructors Club Application

Personal Information

1. Name(required)
2. Phone #(required)
3. Street Address(required)
4. City(required)
5. State(required)
6. Zip(required)
7. Email(valid email required)

Professional Information

1. Primary Profession(required)
2. Secondary Profession(required)
3. Are you currently involved in a fitness program?
4. Yes no
5. Club Name Name of current club
6. Club City
7. Club State
8. What brands of Fitness clothing/Shoes do you use currently?
9. Where do you currently purchase your Fitness Clothing/Equipment?
10. Yes I want to sign up for the Mak Attack Fitness Newsletter

1. Please enter what you see in the image

 

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