Relax Recharge Funding Application

APPLICANT INFORMATION

Full Legal Name

First Name

Last Name

Phone

Business Name

Ownership Structure (Sole Proprietor, LLC, S-Corp, C-Corp, Partnership, etc.)

LOCATION DETAILS

Location Type

Location Address

City

State/Province

Zip/Postal

Country

Is this location

Operating

In expansion

New

Current Monthly Revenue Estimate

Current Services Offered

Estimated Square Footage

Estimated Daily Foot Traffic

Target Market (Athletes, general wellness, luxury, corporate, recovery-focused, etc.)

TIER SELECTION

Which Relax & Recharge Legacy Tier are you applying for?

Tier 1 – Wellness Starter ($65K–$85K)

Tier 2 – Performance Recovery Center (~$150K)

Tier 3 – Flagship Wellness Center ($250K+)

MEMBERSHIP & REVENUE PROJECTION

Expected Members at Launch (first 30–60 days)

Expected Members at 90 Days

Target Monthly Revenue Goal

OPERATOR & TEAM READINESS

Who will oversee day-to-day operations?

Do you currently have staff?

Yes

Hiring in progress

Your Relevant Experience (check all that apply)

Brief background (optional)

FINANCIAL SNAPSHOT

Current Monthly Revenue (if applicable)

Average Monthly Bank Deposits

Business Bank Statements Available

Yes (3–6 months)

FUNDING REQUEST

Funding Amount Requested

Use of Funds (check all that apply)

TIMELINE TO LAUNCH

Your readiness

Ready Immediately

Within 30 Days

Between 30-90 Days

Just Exploring

CONSENT, AUTHORIZATION & DISCLOSURE

I agree to the terms below and authorize contact from Relax & Recharge Legacy™ and Qualifi

Application Acknowledgment and Agreement

By submitting this application, you acknowledge and agree to the following:

Funding Partner Disclosure

You understand that your information will be securely shared with our trusted funding partner, Qualifi, to evaluate financing options for your Relax & Recharge Legacy™ location.

Authorization to Contact

You authorize Relax & Recharge Legacy™ and Qualifi to contact you via phone, email, and/or SMS regarding your application, funding options, and next steps.

Soft Credit Inquiry

You acknowledge that a soft credit pull may be conducted as part of the pre-qualification process and will not impact your credit score.

Information Accuracy

You certify that all information provided is true, accurate, and complete to the best of your knowledge.

No Guarantee of Approval

Submission of this application does not guarantee funding approval. All financing is subject to lender underwriting and approval.

Full Name (Signature)

Clear

Date

If you are human, leave this field blank.

RELAX & RECHARGE LEGACY

LOCATION PARTNER FUNDING APPLICATION

💳 FINANCING MADE SIMPLE