MEMBER REGISTRATION
Home Club:
QUINCY
ABINGTON
WEYMOUTH
Membership Type:
Monthly EFT - All Access
Consultation Package:
$ 0.00
Initial Investment:
$ 0.00
First Month Dues:
$ 29.99
Last Month's Dues:
$ 0.00
Optional Amenities:
$
Total Due Today:
$
Billing Begins:
02/15/2021
Monthly Dues:
$ 29.99
PERSONAL INFORMATION
First Name / MI
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Zip
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Emergency Phone
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CORPORATE
COURTESY LIST DAY
DIRECT MAIL
DO A FRIEND FAVOR
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BILLING INFORMATION
Credit Card Number
Expiration Month
01
02
03
04
05
06
07
08
09
10
11
12
Expiration Year
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Bank Name
Routing/Transit Number
Account Number
How would you like to pay today?
Credit Card Type
Visa
MasterCard
Discover
American Express
Credit Card Number
Expiration Month/Year
01
02
03
04
05
06
07
08
09
10
11
12
/
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
TERMS AND CONDITIONS
I have read and agree to the cancellation policy.
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I have read and agree to the annual membership fee policy.
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I have read and agree to the membership terms and club rules.
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MEMBERSHIP TERMS AND CLUB RULES
: Lack of use does not relieve member of past, present, or future monetary obligations. Refunds will not be given for lack of use. Memberships cannot be frozen unless recommended or accompanied by a certified DR`s note and/or deployed on military leave. Frozen memberships cannot be cancelled. Frozen memberships will be charged a minimum monthly fee of $8.00. Frozen memberships are not applied against the 12 month minimum contractual term. Unless accompanied by a DR`s note and/or deployed on military leave - Frozen memberships will be for an initial term of 2 months and will automatically revert to full membership monthly rate after frozen term has concluded. Monthly dues are subject to annual increases after the initial twelve (12)month contractual period has concluded. Accounts 60 days past due will be terminated and sent to a third party collection agency. It is further understood that breaking any of the posted club rules and regulations will result in membership termination at he discretion of management. A $25 service fee will be charged for all transactions returned uncollectable. Changes in billing account information must be received in writing at least 10 days prior to billing date in order to prevent service fees.
A $3.00 transaction fee will be charged monthly and added to the monthly payment for all memberships billed via credit card and/or debit card.
A $10 fee per offense will automatically be charged for any person registered for a class who no shows without canceling within 4 hours of class start time. Membership billing will continue until member cancels monthly payment by method outlined in this agreement. Customers right of cancellation: You may cancel this contract without penalty or further obligation by causing a written notice of your cancellation to be delivered in person or postmarked by certified or registered United States Mail within three (3) business days of the date of this contract or the date of your receipt to the address specified in the contract.
I have read and agree to the waiver.
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Member
Parent/Guardian
CANCELLATION POLICY
Cancellations must be done in writing either in person or by certified mail, return receipt requested. Cancelled memberships will end upon final day during last month billed.
All cancellations must be received 30 days prior to final requested charge date.
ANNUAL MEMBERSHIP FEE
An annual fee of $49 will be added to the first scheduled monthly payment for all members. The fee will then occur yearly on the membership anniversary billing date.
This fee occurs regardless of use, frozen status and/or pending cancellation.
WAIVER
In consideration of T & D Fitness DBA Northeast Health & Fitness allowing me to be a member and permitting me to use its facilities and equipment, I agree to the following:
In attending the Northeast Health & Fitness Club(s) and using its facilities and equipment, I agree that I am doing so at my own risk. The Northeast Health & Fitness Club(s) shall not be liable for any damages arising from personal injuries sustained by me on the premises.
I assume full responsibility for any injuries which may occur to me on the premises of the club(s) and release and discharge Northeast Health & Fitness Club(s), its owners, its employees and its agents from any and all claims resulting from my use of the facilities and equipment of the club. I represent that I am in good physical condition and that I have no disability or impairment preventing me from engaging in active or passive exercise.
TERMS AND CONDITIONS OF MEMBERSHIP
Lack of use does not relieve member of past, present, or future monetary obligations. Refunds will not be given for lack of use. Memberships cannot be frozen unless recommended or accompanied by a certified DR`s note and/or deployed on military leave. Frozen memberships cannot be cancelled. Frozen memberships will be charged a minimum monthly fee of $8.00. Unless accompanied by a DR`s note and/or deployed on military leave - Frozen memberships will be for an initial term of 2 months and will automatically revert to full membership monthly rate after frozen term has concluded. Monthly dues are subject to annual increases after the initial twelve (12)month contractual period has concluded. Accounts 60 days past due will be terminated and sent to a third party collection agency. It is further understood that breaking any of the posted club rules and regulations will result in membership termination at he discretion of management. A $25 service fee will be charged for all transactions returned uncollectable. Changes in billing account information must be received in writing at least 10 days prior to billing date in order to prevent service fees.
A $3.00 transaction fee will be charged monthly and added to the monthly payment for all memberships billed via credit card and/or debit card.
A $5 fee per offense will automatically be charged for any person registered for a class who no shows without canceling within 4 hours of class start time. Membership billing will continue until member cancels monthly payment by method outlined in this agreement. Customers right of cancellation: You may cancel this contract without penalty or further obligation by causing a written notice of your cancellation to be delivered in person or postmarked by certified or registered United States Mail within three (3) business days of the date of this contract or the date of your receipt to the address specified in the contract.