Vermont Sport & Fitness Club: Monthly Family Gym Membership

This plan requires 3 members with a maximum of 6 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

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

$170.13

$98.02

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Startup Fee	$55.00	$0.00	$0.00	0
Monthly Adult	$0.00	$159.00	$0.00	0
Monthly Adult	$36.61			0
Sub-Total	$91.61	$159.00
Tax	$6.41	$11.13
Total	$98.02	$170.13

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

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