HNH Fitness: 1 Year Contract

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

Source

Add-Ons for this member

Student Discount

$0.00 down $-40.00 / month

Monthly Payment

$89.22

Amount Due Today

$50.00

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Membership Dues	$0.00	$79.00	$79.00	0
Enrollment Fee	$50.00	$0.00	$0.00	0
Unlimited Group Ex Classes	$0.00	$0.00	$0.00	0
Assessment	$0.00	$0.00	$0.00	1
Monthly Enhancement Fee	$0.00	$4.99	$4.99	0
Program Session	$0.00	$0.00	$0.00	1
Sub-Total	$50.00	$83.99
Tax	$0.00	$5.23
Total	$50.00	$89.22

First Monthly Payment Date: 5/1/2024

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

Payment Info

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HNH Fitness: 1 Year Contract

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

Monthly Payment

Amount Due Today

First Monthly Payment Date: 5/1/2024

Payment Info

Payment Info

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