Wilson's On Rangeline: 13. All Fitness Month to Month

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

Class Pass

$0.00 down $35.00 / month

PT MAP Move Assess Plan

$149.00 down $0.00 / month

PT Boost

$49.00 down $0.00 / month

Monthly 7th Payment

$75.53

$331.30

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Capital Improvement Fee	$100.00	$0.00	$0.00	0
Capital Improvement Fee	$121.73			0
All Fitness EFT	$0.00	$69.95	$0.00	0
All Fitness EFT	$85.10			0
Sub-Total	$306.83	$69.95
Tax	$24.47	$5.58
Total	$331.30	$75.53

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

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