Harbinger Fitness
 
DEALER ENROLLMENT - GENERAL INFORMATION
Legal Name   Business Name
 
email (REQUIRED)    
   

Address:

Billing

Shipping
   
City    
   
State   Other State/Province
 
Zip / Postal Code   Country
 
Phone   Fax
 
Website: [include http://]    
How did you hear about Harbinger?    
Personal Experience Magazine Word of Mouth Internet Other
Have you personally used the Harbinger brand in the past? Yes No
 
BUSINESS INFORMATION
Entity Structure
Corp LLC Partnership Individual
Number of years in business
Number of years at current location
Number of Locations
Square Footage
SALES CHANNEL
Gym or Health Club Specialty Fitness
Sporting Goods Rehabilitation Center Personal Trainer
Export/International Catalog Internet
Explanation / History of Business
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CONTACT INFORMATION    
Owner/President    
Phone   email
 
Purchasing Contact    
Phone   email
 
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THE FITNESS LEADER SINCE 1988
(800) 729-5954 | 801 Chadbourne Road, Ste 103, Fairfield, CA 94534