Gym Membership Form

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* 1. Name

First name

Last name

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* 2. Email

Email address

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* 3. Phone

Country Code

Phone number

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* 4. Address

Street address

Street address line 2

City

State

Zip Code

Country

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* 5. Gender Identity

Man

Woman

Non-binary

Prefer to self-describe (please specify)

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* 6. Are you interested in a trial-membership?

Yes

No

Have already completed a trial membership

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* 7. Which membership plan are you applying for?

Plan 1

Plan 2

Plan 3

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* 8. I agree to the Terms and Conditions here

Yes