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Gym Membership Payments
Please complete the following details
Client First Name
Client Last Name
Client Email
Client Contact Number
Membership Type
5 Days for $15
Membership - Community 12 months
Membership - Community 6 months
Membership - never2old 12 months
Membership - never2old 6 months
Membership - Student 4 months
Membership - Student 4 months (south only)
Membership - Student 9 months
Membership - Student 9 months (south only)
Student ID
Student Username
Returning Member
None
No
Yes
Date of Birth
Campus
City
North
South
Payment Amount
