*Our company is a:

Consumer Product Manufacturer or Distributor
Promotion or Marketing Agency
Supplier of Fitness Industry Products or Services
Health and Fitness Facility. If you fit this category, please use the Enroll My Club form.

*We are interested in (check all that apply):

Sampling our products to clubs through an In-Club Promotion.
Creating a program that will Save Clubs Money on our Product or Service.
Reach an industry goal by forming an IHRSA Partnership.
Sponsoring an IHRSA Event (meeting, conference, etc.)
Sponsoring an IHRSA Publication
Other (please specify)

NOTE: To enroll in an existing program, please use the Enroll My Club form instead.

*Name

*Title

*Company Name

*Address

*City, State, Zip/Postal

Phone

Fax

E-Mail address

Specific Questions or Comments: