South African Franchisee Form

Franchisee Pre-Qualification Questionnaire

Name

Company Name

Cell Number

Post Code

City

Province

Mailing Address

How did you hear about us?

What range of capital do you currently have available for investment? (ZAR –RAND)

What is the source of your capital? (Mark “X” againstall that apply)

Please explain your current work and/or business/investment activities

Why are you interested in franchising with Anytime Fitness?

What is your timeframe for launching a new business?

Please describe your past involvement in fitness and/or franchising, if any.

Do you plan to open one Anytime Fitness in your chosen area or is your goal to be multi-site owner?

In which city/town/province are you considering opening Anytime Fitness locations?

Why do you think opening Anytime Fitness in this/these locations will be successful?

Why do you think you will be a successful franchisee with Anytime Fitness South Africa?

Is there any further information about yourself or your experience you would like to add?

Please note the information collected in this document will remain entirely confidential, and it will be used by the executive management of Anytime Fitness only for the purpose of their initial evaluation of the qualifications of prospective Anytime Fitness Franchisees.