Franchise Opportunities

Please Note:
Complete the online application in full or download a printable version and return it to address shown on application. Please do not use abbreviations.

A separate application must be completed for each interested party. If you encounter any difficulty,
you may call us at +1-212-414-1886 or fax +1-212-414-1889.

The initial franchise fee is $75,000. The estimated total investment required is from $314,975 to $347,545 (excluding real property).

All fields must be filled out in order to submit




Area of Interest

Primary Area of Interest
Country/Region:

City/Town:
State:

Zip/Postal Code:

Secondary Area of Interest
Country/Region:

City/Town:
State:

Zip/Postal Code:
How did you learn about us?

General Information
Last Name:
First Name:
Middle Name:
Are you of legal age in your state and/or area of residence?  Yes No
Home Phone:
Work/Cell Phone:
Email Address:
Country/Region:

Address:
City/Town:
State:

Zip/Postal Code:

Specific Data
Are you self employed:  Yes No
Have you ever declared bankruptcy?  Yes No
Have you ever been convicted of a felony?  Yes No
Amount of cash available for investment? $
Do you have a financing source?  Yes No
Would this business be your sole source of income?  Yes No
Will you be the sole owner of this business?  Yes No
If qualified, when would you be ready to invest in your Franchise? mm/dd/yyyy
Have you ever owned a franchise before? If so, which one?
Do you have any liens against you?
What is your net worth? $

I certify that the information I have provided on this application is complete and correct. I hereby authorize Pure Power Boot Camp or its authorized agent to obtain verification of any of the information and I authorize the release of such information to Pure Power Boot Camp or its authorized agent.
Name of Applicant:
Date: mm/dd/yyyy
Name of Co-Applicant:
Date: mm/dd/yyyy