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Your Personal Details

Club

First Name

Last Name

Date of Birth

Parent Name

Password

Confirm Password

Cell Phone

Home Phone

Work Phone

Street

Suburb

City

State

Postal Code

Country

Notes

Occupation

Behavioral Information

Start Date

First Payment Date

promo_impact_start_date

Membership

Concession 20 Class Pass - please turn off automatic billing

Description

20 classes to use within 10 weeks
Works out to $15.95 per session (save $8)

Price

$319.00 Full Cost by Billing

Promotion

$0.00 until

Account Credit

applied after sign-up

Membership Start Date

Membership Length

10 weeks

Prorated Upfront Fee

Transaction fees may apply

Gift Voucher

voucher balance - Remove

Discount Code

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