Wilson's On Forum: 02. Preferred Yearly

Primary Member Information

First Name

M.I.

Last Name

Address 1

Address 2

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Mobile Phone

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OK to Contact Mobile Phone

Preferred Phone

Home

Mobile

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Add-Ons for this member

Class Pass

$420.00 down $0.00 / month

PT MAP Move Assess Plan

$149.00 down $0.00 / month

PT Boost

$49.00 down $0.00 / month

No Billing Payment

$0.00

$884.32

Service	Down Payment	Recurring	Rollover	Visits
Member 1
PREFERRED PIF	$819.00	$0.00	$759.00	0
Mac Pool Access	$0.00	$0.00	$0.00	0
Beach Club Access	$0.00	$0.00	$0.00	0
Sub-Total	$819.00	$0.00
Tax	$65.32	$0.00
Total	$884.32	$0.00

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