GYM MEMBERSHIP + COACHING

THIS FORM IS A LEGALLY BINDING AGREEMENT - PLEASE READ THE TERMS & CONDITIONS

TERMS & CONDITIONS

Terms:

$79.99 per week (12 months minimum)

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

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City:* City is Required

Country:* Country is Required

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Zip/Postal Code:* Zip/Postal Code is Required

Mobile:* Mobile is Required

DOB:* DOB is Required

Gender:* Gender is Required

Female Male N/A

I agree to the Terms & Conditions linked above*

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Description	Amount
Gym Membership + Coaching (yearly) – Initial Payment	$0.00
Sub-Total	$0.00
10% GST	$0.00
Total	$0.00

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