CICERO Aspen Athletic Club: *Contract

This plan requires 1 member with a maximum of 10 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

$19.99

$19.98

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Membership Dues	$0.00	$19.99	$19.99	0
Prorated Membership Dues	$19.80			0
Enrollment Fee	$0.18	$0.00	$0.00	0
FitStart #1	$0.00	$0.00	$0.00	1
FitStart #2	$0.00	$0.00	$0.00	1
Sub-Total	$19.98	$19.99
Tax	$0.00	$0.00
Total	$19.98	$19.99

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

Maintenance Fee (Per member) of $39.00 will be billed on a Annual basis starting 7/16/2022

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