Employers

First Name *

Last Name *

Your Role within the company *

Employer Name *

Employer Type *—Please choose an option—Government - FederalGovernment - LocalGovernment - StatePrivate - LocalPrivate - NationalPrivate - StateNot for Profit (NFP)

Phone Number *

Email *

Number of employees at your workplace? *

What is your work location?

Suburb *

State *ACTNSWNTQLDSATASVICWA

Postcode *

How did you hear about Fitness Passport? *—Please choose an option—Employee’s requesting Fitness PassportWord of mouth from friends or colleaguesWorkplace marketing, orientation or intranetFitness Passport WebsiteLinkedIn/Social mediaOnline searchAn eventReferralPreviously a memberOther

Please leave this field empty.