Alameda Fitness & Spa: KARATE NON MEMBER

This plan requires 1 member with a maximum of 3 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

$85.00

$41.85

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Kids Karate	$0.00	$85.00	$0.00	0
Kids Karate	$41.85			0
Sub-Total	$41.85	$85.00
Tax	$0.00	$0.00
Total	$41.85	$85.00

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

By clicking 'Payment Info' you agree to our Privacy Policy.