Gym Membership Form

First Name
Last Name
Street
City
State Zip
Email Address
Phone Number
Membership Type:
Single
First & Last Month Dues $69.90 + $25.00 Key Tag = $94.90
Paid in Full 12 Months $300 + $25.00 = $325
Student
First and Last Month Dues $50 + $25.00 Key Tag = $75.00
Paid in Full 12 Months $300 + $25.00 =$325
Couple
First and Last Month Dues $110 + $25.00 Key Tag $160
Paid in Full 12 Months $600 + 2 Key Tags $50 = $650
Family
First and Last Month Dues $130.00 + $50 Key Tag = $180
Paid in Full 12 Months $720 + $50 Key Tag = $770.00

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