Home
Why Mick’s?
What is HIIT?
8 Week Challenge
Want to try?
Memberships
Contact Us

Menu

Stage 2: Pre Sale Sign Up Form

HomeStage 2: Pre Sale Sign Up Form

Stage 2: Pre-sale sign up form

Step 1 of 3

33%

Your Name*
First Last
Additional Member
If you like, you can add another name to this membership so that you can signup together.

Additional members fee is $31.95 per person, per week.
First Last
Your Phone Number*
Email Address*
Address*
Street Address City State Post Code
Emergency Contact Number*
Your Date of Birth*

Day
Month
Year
Your Photograph*
Must be your headshot.
Max. file size: 5 MB.

Payment Option*
- Credit Card
- Direct Debit
Credit Card Number*
Card Type*
- MasterCard
- Visa
- Amex
Name On Card*
Expiry Date*
Enter as MM/YY
Direct Debit Frequency*
Account Name*
Account Number*
BSB*
Preferred Direct Debit Day*
Direct Debit Frequency*

What would be your preferred training times?*
So we can get an understanding of numbers in classes. We are just wanting a guide on numbers to better understand what you all want! It's your Gym !
- 5:15am
- 6:15am
- 7:15am
- 9:30am
- 11:00am
- 5:30pm
- 6:30pm
- 7:30
- Saturday AM
- Sunday AM
Will your be bringing your children to the gym?*
Please let us know if you intend on bringing your child or children to the gym.
- Yes - baby or toddler
- Yes - child is over 3 years old
- Yes - I have more than one child
- Occasionally, only when needed
- No
Other Comments
Do you have any other comments in relation to your online membership signup? If so please include them here.
Terms & Conditions*
This is an ongoing direct debit arrangement with a cancellation term of 30 days notice. After the initial 6 month minimum, this becomes a monthly ongoing direct debit with a 30 day notice period required to cancel.

Your membership package is;

- Stage 2 Pre Sale Membership
- Price: $31.95 per person, per week
- Term: 6 months
- BONUS: Micks Gym Membership Included free
- BONUS: Myzone Heart Rate Monitor included for free
- BONUS: Immediate use of Mick's Gym
- I agree to the membership package above
- Please confirm you've read the General Terms & Conditions
Signature*
Please sign your signature in the panel above.

Δ

© 2024 Mick's HIIT.

Customised by Exstatic