Element Fitness Membership Registration

Please complete and submit the following membership agreement information. Please carefully read our membership agreement before submitting.

Member Information
Name(s) (*)
Name is required.
Home Address (*)
Home Address is required.
City (*)
City is required.
State (*)
State is required.
Zip (*)
Zip Code is required.
E-mail (*)
Invalid email address.
Home Phone (*)
Home Phone is required.
Business Phone
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Emergency Contact
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Emergency Contact Phone
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Other Member Information
List Others on Membership and Birthdates
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Invalid Input
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Membership Plan
Membership Type (*)
Selecting a Membership Type is required.
Membership Plan (*)
Please tell us how big is your company.
Membership Fees
Initiation Fee:$ 49.00
Monthly Dues: 39.00
Monthly Dues Tax: 3.55
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Due At Signing:$91.55
Monthly Dues Plus Tax:$ 42.55
Membership Fees
Initiation Fee:$ 0.00
Annual Dues: 359.40
Annual Dues Tax: 36.97
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Due At Signing:$432.37
Monthly Dues Plus Tax:$ 0.00
Membership Fees
Initiation Fee:$ 0.00
Monthly Dues: 32.95
Monthly Dues Tax: 3.08
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Due At Signing:$ 36.03
Monthly Dues Plus Tax:$ 36.03
Membership Fees
Initiation Fee:$ 49.00
Monthly Dues: 64.00
Monthly Dues Tax: 5.83
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Due At Signing:$118.83
Monthly Dues Plus Tax:$ 69.83
Membership Fees
Initiation Fee:$ 0.00
Annual Dues: 719.40
Annual Dues Tax: 67.26
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Due At Signing:$786.66
Monthly Dues Plus Tax:$ 0.00
Membership Fees
Initiation Fee:$ 0.00
Monthly Dues: 59.95
Monthly Dues Tax: 5.61
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Due At Signing:$ 65.56
Monthly Dues Plus Tax:$ 65.56
Membership Fees
Initiation Fee:$ 49.00
Monthly Dues: 89.00
Monthly Dues Tax: 8.09
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Due At Signing:$146.09
Monthly Dues Plus Tax:$ 97.09
Membership Fees
Initiation Fee:$ 0.00
Monthly Dues: 1068.00
Monthly Dues Tax: 97.19
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Due At Signing:$1,165.19
Monthly Dues Plus Tax:$ 0.00
Membership Fees
Initiation Fee:$ 0.00
Monthly Dues: 89.00
Monthly Dues Tax: 8.01
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Due At Signing:$ 97.01
Monthly Dues Plus Tax:$ 97.01
Membership Payment Method
Method of Payment (*)
At least one Primary Interest is required.
Bank Name
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Bank Transit No.
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Bank Account No.
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Credit Card
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Credit Card Number
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Credit Card Expiration Date (MM/YY)
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Membership Agreement Acknowledgement
Membership Agreement (*)
Reviewing and Agreeing to Membership Agreement is required.
  
Element Fitness Membership