First Step - Complete The Form

Tell Us About Yourself

Title *

Full Name *

Email *

Phone *

Do you have a South African ID Number? *

Yes

Address

Street Address

City

State

Country

Postal Code

Emergency Contact Name *

Emergency Contact Number *

Which coach introduced you to the gym? *

Contract Selection

Select Your Contract Type *

Contract Selection - Group Training

Contract Selection - Semi-Private Training (Plus R 299 gym fee pm)

Debit Order

Accountholder Name *

Bank Name *

Branch Name *

Branch Number *

Type of Account *

Account Number *

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