Welcome To The Fitness Firm - Online Member Sign Up

Selected Home Club: Front door [Club Details]


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

Membership Includes:
* Unlimited gym access 24/7 with a fob ($10 + tax)
* Group fitness classes, Yoga, and Pilates at a $4 premium per class for members


Additional Information:
* 12 month minimum (auto renew)
* Membership is only available with pre-authorized payment method (void cheque, credit card)
* Start up = First Month Dues + Last Month + HST
* Other payment plans available (inquire within)
* Discounted rate for students/seniors (inquire within)
* All prices plus HST



MEMBERSHIP BREAKDOWN
Initial Payment
Card Fee
$10.00
Monthly Due
$52.00
Last Monthly Due
$52.00
Taxes
$14.82
Amount due now:
$128.82

Payments Starting on 01-Jan-21
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