Richmond Athletic Club: 6 Month 15th

This plan requires 1 member with a maximum of 2 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

OK to Contact Email?

Birth Date

Gender

Male Female Other

Drivers License #

Add-Ons for this member

Locker Service

$0.00 down $8.00 / month

Monthly 15th Payment

$42.40

Amount Due Today

$55.77

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Card Fee	$5.00	$0.00	$0.00	0
Enrollment Fee $25	$25.00	$0.00	$0.00	0
24 HR Access	$0.00	$40.00	$45.00	0
24 HR Access	$22.61			0
Sub-Total	$52.61	$40.00
Tax	$3.16	$2.40
Total	$55.77	$42.40

First Monthly 15th Payment Date: 5/15/2024

Payments will then be processed on a Monthly 15th basis there after.

Payment Info

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Richmond Athletic Club: *6 Month 15th*

This plan requires 1 member with a maximum of 2 members.

Monthly 15th Payment

Amount Due Today

First Monthly 15th Payment Date: 5/15/2024

Payment Info

Payment Info

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Richmond Athletic Club: 6 Month 15th