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Membership
Details
Terms & Conditions
Payment
Confirmation
Your Personal Details
Club
Champs Fitness
First Name
Last Name
Date of Birth
Gender
Male
Female
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Email
Password
Confirm Password
Cell Phone
Home Phone
Work Phone
Street
Suburb
City
State
Postal Code
Country
New Zealand
How did you hear about us?
Please select an option
Building Sign
Deal Street Promo
Eastridge Advertising
Facebook
Green Prescription Referral
Guest Pass
Instagram
Other Advertising
Referral from a Member
Returning member
Web Search/Google
Website
Occupation
Emergency Contact
Name
Phone
Email
Relationship
Behavioural Information
Start Date
First Payment Date
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Membership
7 day pass (Paid in Advance)
Description
24/7 access for 7 days
Price
$50.00 Full Cost
Promotion
$0.00 until
Account Credit
applied after signup
Membership Start Date
Membership Length
1 weeks
Prorated Upfront Fee
Discount Code
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applied
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