Vermont Sport & Fitness Club: Annual Family Gym Membership

This plan requires 3 members with a maximum of 6 members.

How many total members would you like on this plan?

* This plan requires a minimum number of members including the primary member.

(1) Primary Member Information

First Name

M.I.

Last Name

Address 1

Address 2

City

State / Province

Zip / Postal Code

Home Phone

OK to Contact Home Phone

Preferred Phone

Home

OK to Contact Email?

Add-Ons for this member

Monthly Locker Rental

$72.00 down $0.00 / month

$1930.28

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Annual Adult	$1749.00	$0	$0.00	0
Startup Fee	$55.00	$0	$0.00	0
Sub-Total	$1804.00	$0
Tax	$126.28	$0.00
Total	$1930.28	$0

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