Gym Membership North Bay

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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.

Personal Information

First Name *

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Last Name *

Address *

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Tel. Home:

Tel. Work:

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Email:

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Membership Information

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Terms and Conditions

Please read the following terms of acceptance and agree to the terms and conditions to begin the payment process.

Please read the maintenance fee and put your initials in the box

Maintenance Fee

Twice per year on the FIRST FRIDAY of FEBRUARY & AUGUST, there is an additional $24.99 fee per membership and will be automatically debited.

Maintenance fee will be charged and combined with the regular bi-weekly membership debit

Yes, I agree to the Terms and Conditions *

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above terms of acceptance.

Billing Information

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Card Type *

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Recurring Banking Information: Checking

Recurring Banking Information

Institution Number *

First Name *

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Branch Number *

Account Number *

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