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Temporary Membership Extension
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Temporary Membership Extension
Temporary Outdoor PT Membership
Name
First
Last
Have your payment details changed since last debit?
*
No
Yes
When would you like your payments processed?
Weekly ($44.95)
Fortnightly ($89.90)
Sessions will begin on September 28th please indicate when you would like your payments to begin
Preferred debit day
Monday
Tuesday
Wednesday
Thursday
Friday
Debit Start Date
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Card Type
Mastercard
Visa
Amex
Credit Card Number
Expiry Date
Enter as MM/YY
Name on card
Comments
Agreement to continue
*
I wish to restart my temporary 2-1 membership
Signature
*
Number
Untitled
Δ
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Exstatic