Membership Contract

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Membership Types & Costs

If choosing the Month-to-Month option, all items stated in the Contract are still valid, excluding from the monetary, annual contractual agreement.

Standard | Quarterly (3 Months Paid In-Full) | $42/month ($126/quarter)

Standard | Annual w/ Monthly Payments | $45/month ($540/year)

Standard | Annual (Paid In-Full) | $40/month ($480/year)

Discounted | Quarterly (3 Months Paid In-Full) | $32/month ($96/quarter)

Discounted | Annual w/ Monthly Payments | $35/month ($420/year)

Discounted | Annual (Paid In-Full) | $30/month ($360/year)

Premium Guest Pass | $55/month for one guest/day

Month-to-Month | $50 (no contract)

Start Date

End Date

Total Due Today

Initial Dues + $15 initiation fee ($25 for reactivation within 90 days of cancellation; $0 for activation renewals) + $50 annual fee (if paying quarterly or annually)

Payment Method

In addition to Checking Account and Credit Card, The Strength Factory also accepts cash or check payments. However, a cash/check payment must be made the prior to the 1st of the following month to keep membership status in an “active” state. If The Strength Factory does not receive payment prior to the 1st, membership status will convert to an “inactive” state.

Payment Information

If selecting Checking Account, include the Acct #, Routing # and Bank. If selecting Credit Card, include the Card Number, Expiration Date and Security Code.