First Step - Complete The Form
TELL US ABOUT YOURSELF
Title
*
Select One
Full Name
*
Email
*
Phone
*
Do you have a South African ID Number?
*
Yes
No
ID Number
Your Passport Number or Date of Birth
Address
Street Address
City
State
Country
Country
Postal Code
Emergency Contact Name
*
Emergency Contact Number
*
Which coach introduced you to the gym?
*
Select One
If you selected "Other" for "Which coach introduced you to the gym" please elaborate: (i.e. friend, Facebook, flyer, etc)
CONTRACT SELECTION
Select Your Contract Type
*
Select One
Contract Selection - Group Training
Select One
Contract Selection - Semi-Private Training (Plus R 299 gym fee pm)
Select One
DEBIT ORDER
Accountholder Name
*
Bank Name
*
Branch Name
*
Branch Number
*
Type of Account
*
Select One
Account Number
*
Please read and agree to the following terms:
Sessions are not transferable.
*
I understand and agree
We bill in arrears and there is a 30-day cancellation notice.
*
I understand and agree
A once-off activation fee of R 499 is added to your first debit order
*
I understand and agree
No downgrades during December and January
*
I understand and agree
Submit Your Information
