Membership Application - Suncrest Fitness Center & Phase 1 Physical Therapy - Located in Suncrest, Washington

Physical Therapy

Suncrest FC

MEMBERSHIP APPLICATION

Name (Head of Household)

Birthdate:

Address:

City:

State:

Zip:

Home Phone:

Work/Cell Phone:

Type of Membership:

Check which one applies

Family General Member

Individual General Member

*$48 per month with $75 registration fee

*$38 per month with $75 registration fee

*All prices are effective starting January 1, 2008 and exclude taxes. Initial payment will include first and last month plus registration fee.

Family membership includes two (2) adults and one (1) youth over 13 and under 18 years of age.

Add-on Family Member (under 18)

$15 per month

Name:

Birthdate:

Name:

Birthdate:

Name:

Birthdate:

Name:

Birthdate:

All billing information will need to be set up when the club doors open. You will need to bring your credit card that you would like your electronic funds transfer taken from or a voided check for verification of funds.

Thank you for your interest in getting fit for life at Suncrest Fitness Center!

© 2008 Phase 1 Physical Therapy, P.S. / Suncrest Fitness Center, Inc. .:. All Rights Reserved