Wilson's On Rangeline: 07. Passport Monthly

Primary Member Information

First Name

M.I.

Last Name

Address 1

Address 2

City

State / Province

Zip / Postal Code

Home Phone

Mobile Phone

OK to Contact Home Phone

OK to Contact Mobile Phone

Preferred Phone

Home

Mobile

OK to Contact Email?

Birth Date

Source

Add-Ons for this member

PT MAP Move Assess Plan

$149.00 down $0.00 / month

PT Boost

$49.00 down $0.00 / month

Monthly 7th Payment

$97.12

$88.76

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Capital Improvement Fee	$50.00	$0.00	$0.00	0
Capital Improvement Fee	$11.48			0
Passport EFT	$0.00	$89.95	$0.00	0
Passport EFT	$20.72			0
Mac Pool Access	$0.00	$0.00	$0.00	0
Beach Club Access	$0.00	$0.00	$0.00	0
Sub-Total	$82.20	$89.95
Tax	$6.56	$7.17
Total	$88.76	$97.12

Payments will then be processed on a Monthly 7th basis there after.

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