Welcome To The Fitness Firm - Online Member Sign Up

Selected Home Club: Front door [Club Details]


One Year Adult Membership - Fitness Firm
First and last month down
$52.00 per month

Membership Includes:
* Unlimited gym access
* Unlimited group fitness classes including Yoga, Pilates, Spin and Bootcamp



Additional Information:
* 12 month minimum (auto renew)
* All prices plus hst
* Start up =1st Months Dues + Last month + hst
* Other payment plans available, inquire within
*additional services, pool and towel,available upon request at the club



MEMBERSHIP BREAKDOWN
Initial Payment
Monthly Due
$52.00
Last Monthly Due
$52.00
Taxes
$13.52
Amount due now:
$117.52

Payments Starting on 01-Apr-20
Monthly Due
$52.00
Taxes
$6.76
Total:
$58.76
MEMBER INFORMATION
 
Please complete all of the following fields. You only need to enter 1 telephone contact; when entering a telephone number please enter all 10 digits without any spaces; when entering the postal code please enter all 6 characters without any spaces.
 
First Name   Last Name   Gender   Date of Birth
    Male Female  
 
Street Address   Province/State   City   Postal/ZIP   Email (Username)
       
 
Home Tel.   Mobile   Emergency Contact   Emergency Tel.   Referral Source
       
 

INITIAL PAYMENT INFORMATION
 
Card Type   Card Number  
   
 
Expiry Date   Cardholder Name   CSV [?]
   
 
Use address above for billing information
 
Street Address   Province/State
 
 
City   Postal/ZIP
 
 
MONTHLY PAYMENTS INFORMATION
 
Use same information as initial payment
 
Card Type   Card Number  
   
 
Expiry Date   Cardholder Name   CSV [?]
   
 
Use address above for billing information
 
Street Address   Province/State
 
 
City   Postal/ZIP
 
 

OTHER MEMBERSHIP TERMS
 
Before finalizing your purchase, please carefully read the following terms and conditions.
 
* first and last month required
* 30 days written notice to cancel membership after 1 year commitment
* see terms and conditions for more information
 
Electronic Signature

I understand that my electronic signature below constitutes a legal signature confirming acceptance of the membership agreement.


Please sign below