Vermont Sport & Fitness Club: Tennis/Pickleball 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

$110.21

$208.96

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Startup Fee	$55.00	$0.00	$0.00	0
Monthly Adult	$103.00	$103.00	$0.00	0
Monthly Adult	$37.29			0
Sub-Total	$195.29	$103.00
Tax	$13.67	$7.21
Total	$208.96	$110.21

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

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