Pure Family Fitness Ocean City: NOC Hot Yoga/Barre/Gym 52 Week

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

OK to Contact Email?

Emergency Contact

Name

Phone

Birth Date

Gender

Male Female Other

Drivers License #

Add-Ons for this member

Guest Privileges

$0.00 down $10.00 / every 2 weeks

Bi-Weekly Payment

$16.99

Amount Due Today

$46.08

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Dues	$0.00	$16.99	$16.99	0
Dues	$12.10			0
Unlimited Classes	$0.00	$0.00	$0.00	0
Kick-Start Session	$0.00	$0.00	$0.00	1
Unlimited Yoga/Barre	$0.00	$0.00	$0.00	0
PT Assessment	$0.00	$0.00	$0.00	1
Last 2 Billing Cycles	$33.98	$0.00	$0.00	0
Sub-Total	$46.08	$16.99
Tax	$0.00	$0.00
Total	$46.08	$16.99

First Bi-Weekly Payment Date: 5/24/2024

Payments will then be processed on a Bi-Weekly basis there after.

Other Fee Information

Annual Fee (Per member) of $49.00 will be billed on a Annual basis starting 8/22/2024

Payment Info

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Pure Family Fitness Ocean City: NOC Hot Yoga/Barre/Gym 52 Week

This plan requires 1 member with a maximum of 8 members.

Bi-Weekly Payment

Amount Due Today

First Bi-Weekly Payment Date: 5/24/2024

Other Fee Information

Payment Info

Payment Info

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