Iron Attic 24-hour Fitness ~ Membership Card Today’s Date: _____________________ Card #: _____________________ Name: ___________________________________________ DOB: ______/______/________ Address: _____________________________________ City: _______________ Zip:_________ Email: ___________________________________________________________________________________ Mobile: ____________________________________ Other Phone: ______________________________ May we contact you via Text? YES or NO Emergency Contact: Name: ________________________________________ Phone: __________________ Type of Membership: Renewal Date: ___________________________________ (Staff fill-in) Employer: _________________________________________________ Phone: __________________________ Do you receive insurance benefits for having a gym membership? YES or NO Do you need a receipt? YES or NO (Preferred delivery of receipt? MAIL or EMAIL) £ Single Monthly - EFT contract $25 £ Single Monthly $35 £ Single Annual $300 £ Family Monthly - EFT contract $45 £ Family Monthly $55 £ Family Annual $500 £ College Annual (ID req’) $150 £ Discount: ________________________________________
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Iron Attic 24-hour Fitness ~ Membership Card
Today’s Date: _____________________ Card #: _____________________
Name: ___________________________________________ DOB: ______/______/________
Address: _____________________________________ City: _______________ Zip:_________
Email: ___________________________________________________________________________________
Mobile: ____________________________________ Other Phone: ______________________________ May we contact you via Text? YES or NO
Emergency Contact: Name: ________________________________________ Phone: __________________
Type of Membership: Renewal Date: ___________________________________ (Staff fill-in)
Iron Attic 24-hour Fitness ~ Membership Card Today’s Date: _____________________ Card #: _____________________
Name: ___________________________________________ DOB: ______/______/________
Address: _____________________________________ City: _______________ Zip:_________
Email: ___________________________________________________________________________________
Mobile: ____________________________________ Other Phone: ______________________________ May we contact you via Text? YES or NO
Emergency Contact: Name: ________________________________________ Phone: __________________
Type of Membership: Renewal Date: ___________________________________ (Staff fill-in)
Employer: _________________________________________________ Phone: __________________________ Do you receive insurance benefits for having a gym membership? YES or NO
Do you need a receipt? YES or NO (Preferred delivery of receipt? �MAIL or �EMAIL)
£ SingleMonthly -EFTcontract $25£ SingleMonthly $35£ SingleAnnual $300£ FamilyMonthly-EFTcontract $45£ FamilyMonthly $55£ FamilyAnnual $500£ CollegeAnnual(IDreq’) $150£ Discount:________________________________________
£ SingleMonthly -EFTcontract $25£ SingleMonthly $35£ SingleAnnual $300£ FamilyMonthly-EFTcontract $45£ FamilyMonthly $55£ FamilyAnnual $500£ CollegeAnnual(IDreq’) $150£ Discount:________________________________________
Employer: _________________________________________________ Phone: __________________________ Do you receive insurance benefits for having a gym membership? YES or NO
Do you need a receipt? YES or NO (Preferred delivery of receipt? �MAIL or �EMAIL)
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