Welcome To The Fitness Firm - Online Member Sign Up

Selected Home Club: Front door [Club Details]


No Contract - Fitness Firm
First and Last month down
$65.00 per month

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


Additional Information:
*membership is only available with pre-authorized payment method (void cheque, credit card)
*additional services, pool and towel,available upon request at the club
*all prices plus hst



MEMBERSHIP BREAKDOWN
Initial Payment
Monthly Due
$65.00
Last Monthly Due
$65.00
Taxes
$16.90
Amount due now:
$146.90

Payments Starting on 01-Apr-20
Monthly Due
$65.00
Taxes
$8.45
Total:
$73.45
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.
 
*30 days written notice to cancel membership
*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