Springside Athletic Club: Standard

This plan requires 1 member with a maximum of 8 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

Mobile Phone

OK to Contact Home Phone

OK to Contact Mobile Phone

Preferred Phone

Home

Mobile

Birth Date

Gender

Male Female Other

Add-Ons for this member

Locker Rental Monthly

$0.00 down $12.00 / month

$61.92

$98.41

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Special Initiation Fee	$75.00	$0.00	$0.00	0
Monthly Dues	$0.00	$58.00	$0.00	0
Prorated Dues	$17.19			0
Sub-Total	$92.19	$58.00
Tax	$6.22	$3.92
Total	$98.41	$61.92

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

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