St. Albert Trail: Express Club MTM JOL

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

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Birth Date

Add-Ons for this member

Towel Service - 1 Towel

$0.00 down $10.00 / every 2 weeks

Bi-Weekly Payment

$16.75

$0.00

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Initiation	$0.00	$0.00	$0.00	0
Membership Dues	$0.00	$15.95	$0.00	0
Sub-Total	$0.00	$15.95
Tax	$0.00	$0.80
Total	$0.00	$16.75

Payments will then be processed on a Bi-Weekly basis there after.

Card Fee (Per member) of $29.00 will be billed on a One-Time basis starting 8/6/2020

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