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Membership
Details
Terms & Conditions
Payment
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Your Personal Details
Club
Synergy Health & Fitness Club
First Name
Last Name
Date of Birth
Parent Name
Gender
Male
Female
Undisclosed
Email
Password
Confirm Password
Cell Phone
Home Phone
Work Phone
Street
Suburb
City
State
Postal Code
Country
New Zealand
Notes
Occupation
Emergency Contact
Name
Phone
Email
Relationship
Medical Information
Behavioral Information
Start Date
First Payment Date
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Membership
1 Month Swim&Gym Membership
Description
This is a one month pass that gives you access to the gym, pool and facilities. One off paid in full payment, you can renew unlimited times
Price
$129.00 Paid in full
Promotion
$0.00 until
Account Credit
applied after sign-up
Membership Start Date
Membership Length
1 months
Prorated Upfront Fee
Transaction fees may apply
Discount Code
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