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Your Personal Details

Club

First Name

Last Name

Date of Birth

Parent Name

Gender

Male

Female

Password

Confirm Password

Mobile Phone

Home Phone

Work Phone

Street

Suburb

City

State

Postal Code

Country

Occupation

Behavioural Information

Start Date

First Payment Date

promo_impact_start_date

Membership

3 month adult direct debit weekly

Description

30 day cancellation period
Includes all group fitness classes
Access to pools

Price

$23.00 Weekly by Billing

Promotion

$0.00 until

Account Credit

applied after signup

Membership Start Date

Minimum Term

3 months

First Payment Date

Prorated Upfront Fee

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