Member Application Form

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* 1. Name

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* 2. Email

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* 3. Phone (optional)

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* 4. Are you interested in a trial-membership before signing up for one of our full-membership plans?

Yes

No

Have already completed a trial membership

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* 5. Which membership plan are you applying for?

Plan 1

Plan 2

Plan 3

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* 6. Any additional comments?

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* 7. Terms and conditions agreement:

I agree to the terms and conditions here

I do not agree