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Your Personal Details

Club

First Name

Last Name

Date of Birth

Password

Confirm Password

Mobile Phone

Home Phone

Work Phone

Street

Suburb

City

State

Postal Code

Country

Occupation

Behavioural Information

Start Date

First Payment Date

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Membership

First Visit Offer - 1x Class

Description

Suitable for those who want to try any class on the schedule.
Offer available to new clients only.
Valid for 3 months from date of purchase.

Price

$15.00 Full Cost by Billing

Promotion

$0.00 until

Account Credit

applied after signup

Membership Start Date

Membership Length

3 months

Prorated Upfront Fee

Discount Code

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