ENTERPRISE FITNESS: 1 Year

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

Emergency Contact

Name

Phone

Birth Date

Add-Ons for this member

Classes

$0.00 down $0.00 / month

Diet Consultations

$300.00 down $0.00 / month

Kids Care

$60.00 down $0.00 / month

Tanning

$120.00 down $0.00 / month

Monthly Payment

Amount Due Today

$380.00

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Membership Dues	$380.00	$0	$0.00	0
Sub-Total	$380.00	$0
Tax	$0	$0
Total	$380.00	$0

Payment Info

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ENTERPRISE FITNESS: 1 Year

This plan requires 1 member with a maximum of 10 members.

Monthly Payment

Amount Due Today

Payment Info

Payment Info

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