Fields marked with a * are required Request Koko FitClub Franchise Information Thank you for your interest in Koko FitClub franchising! Koko FitClub has the unique opportunity to change people’s lives – for members and owners – with a groundbreaking business model that’s affordable and incredibly simple to operate. And, it all starts right here. If you are ready to learn more about this exciting opportunity, you’re in the right place.   First Name: * Middle Name: Last Name: * Street Address: * City: * State: * -- AL AK AR AZ CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA MA MD ME MI MO MN MS MT NC ND NE NH NJ NM NV NY OK OH OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY Zip: * Email: * Phone: * Best time to call:   Anytime Morning Afternoon Evening Occupation:   Desired Location(s): * How did you hear about us? * Select one BizQuest BizBuySell.com Email FranchiseDirect.com FranchiseGator.com FranchiseSolutions.com Franchising.org Google I am a Koko FitClub Member International Franchise Organization Magazine/Newspaper (please specify in “other”) MyKokoFitness.com Postcard/Mailing Referral – Koko FitClub Employee Referral – Koko FitClub Member Yahoo! Other (please explain under “Other”) Other: Available investment capital: * Select one Less than $50,000 $50,000 - $100,000 $100,000 – $250,000 $250,000 – $500,000 Over $500,000

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© 2008 Koko FitClub, LLC. All rights reserved. THE INFORMATION ON THIS WEB SITE IS NOT AN OFFER TO SELL, OR A SOLICITATION OF AN OFFER TO BUY, A FRANCHISE. IT IS FOR INFORMATION PURPOSES ONLY. A FRANCHISE IS OFFERED ONLY BY OUR DELIVERY OF A FRANCHISE DISCLOSURE DOCUMENT TO YOU IN COMPLIANCE WITH THE FEDERAL TRADE COMMISSION’S RULE ON FRANCHISING AND APPLICABLE STATE FRANCHISE SALES LAWS. NO FRANCHISES CAN BE OFFERED OR SOLD IN THE FOLLOWING STATES UNTIL THE FRANCHISE DISCLOSURE DOCUMENT HAS BEEN REGISTERED WITH THE APPROPRIATE REGULATORY AUTHORITY AND THE FRANCHISE DISCLOSURE DOCUMENT HAS BEEN DELIVERED TO YOU AS REQUIRED UNDER APPLICABLE LAW: ILLINOIS, MARYLAND, NORTH DAKOTA, RHODE ISLAND AND VIRGINIA. THE FOLLOWING COUNTRIES ALSO HAVE FRANCHISE REGISTRATION AND/OR DISCLOSURE REQUIREMENTS: AUSTRALIA, BRAZIL, CANADA (ALBERTA AND ONTARIO ONLY), CHINA, FRANCE, INDONESIA, ITALY, JAPAN, KAZAKHSTAN, KOREA, MALAYSIA, MEXICO, ROMANIA, RUSSIA, SPAIN, AND TAIWAN. IF YOU ARE A RESIDENT OF ONE OF THESE STATES OR COUNTRIES, WE WILL NOT OFFER YOU A FRANCHISE UNLESS AND UNTIL WE HAVE COMPLIED WITH APPLICABLE REGISTRATION AND DISCLOSURE REQUIREMENTS IN YOUR JURISDICTION. THE INFORMATION ON THIS WEB SITE IS NOT DIRECTED TO ANY PERSON IN THE STATES OR COUNTRIES LISTED ABOVE BY OR ON BEHALF OF THE FRANCHISOR OR ANYONE ACTING WITH THE FRANCHISOR’S KNOWLEDGE.