Welcome To World Gym Dartmouth - Online Member Sign Up

Selected Home Club: Dartmouth [Club Details]


VIP $349.99 PAID IN FULL
1 YEAR COMMITMENT - PAID IN FULL

**MOST POPULAR AND BEST VALUE**


Membership Includes:
� ALL BASIC Membership Amenities
� Unlimited Group X Classes
� FREE Childminding ( 2 children per VIP member)*
� FREE Guest every 24 hours (one person per visit)**
� Unlimited Tanning
� Unlimited Hydro Massage
� 50% off Smoothies Every Wed



*Extra Child $10
**Free Guest has 3 Days Limit


Additional Information:
� 1-year Limited-Term Prepaid Non-Renewable Membership
� No Monthly Due



MEMBERSHIP BREAKDOWN
Initial Payment
Membership
$349.99
Taxes
$52.50
Amount due now:
$402.49

MEMBER INFORMATION
 
Please complete all of the following fields. You only need to enter 1 telephone contact; when entering a telephone number please enter all 10 digits without any spaces; when entering the postal code please enter all 6 characters without any spaces.
 
First Name   Last Name   Gender   Date of Birth
    Male Female  
 
Street Address   Province/State   City   Postal/ZIP   Email (Username)
       
 
Home Tel.   Mobile   Emergency Contact   Emergency Tel.   Referral Source
       
 

INITIAL PAYMENT INFORMATION
 
Card Type   Card Number  
   
 
Expiry Date   Cardholder Name   CSV [?]
   
 
Use address above for billing information
 
Street Address   Province/State
 
 
City   Postal/ZIP
 
 

OTHER MEMBERSHIP TERMS
 
Before finalizing your purchase, please carefully read the following terms and conditions.
 
 
Electronic Signature

I understand that my electronic signature below constitutes a legal signature confirming acceptance of the membership agreement.
Buyer will receive receipt of a fully completed copy of this contract by email. I acknowledge and accept all terms and conditions set forth on this contract.

World Gym prepaid memberships do not auto renew at end of term.

Pre-paid memberships are NON-REFUNDABLE. There will be no refunds for prepaid memberships for any reason including, but not limited to: lack of use, relocation, or injury. Pre-paid memberships may be eligible for account freezes, standard World Gym Dartmouth account freeze policy applies. Please see full terms and conditions for details


Please sign below