Vermont Sport & Fitness Club: Monthly 25 & Under Gym Membership

Primary Member Information

First Name

M.I.

Last Name

Address 1

Address 2

City

State / Province

Zip / Postal Code

Home Phone

OK to Contact Home Phone

Preferred Phone

Home

OK to Contact Email?

Add-Ons for this member

Monthly Locker Rental

$5.00 down $5.00 / month

Monthly 1st Payment

$56.71

$77.47

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Startup Fee	$55.00	$0.00	$0.00	0
Monthly 25 & Under	$0.00	$53.00	$0.00	0
Monthly 25 & Under	$17.40			0
Sub-Total	$72.40	$53.00
Tax	$5.07	$3.71
Total	$77.47	$56.71

Payments will then be processed on a Monthly 1st basis there after.

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