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New Member Inquiry
Welcome to the Jyim! Thank you for your interest. Please fill out the form below.
12
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1
Name
First Name
Last Name
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2
Email
example@example.com
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3
Phone Number
Please enter a valid phone number.
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4
Which Jyim member services are you interested in?
Personal Training
Small Group Classes
Private Group Training
Private Boxing Lessons
Body Scanning
Recovery Services (e.g. Assisted Stretch, Sports Massage)
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5
Fitness Goals
Lose weight
Build muscle mass
Sculpt & tone
Nutrition
Overall wellness
Pain reduction
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6
What is your estimated monthly fitness budget to reach your goals? Our team will work to put together a plan that works for you!
Under $200
Between $200 and $500
Between $500 to $1000
Over $1000
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7
Is there anything else you'd like to discuss?
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8
Preferred Method of Contact
Call
Text
Email
Voice Message
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9
Preferred Time of Contact
9AM-12PM
12PM-3PM
3PM-6PM
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10
Preferred Day of Contact
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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11
Referral Source
How did you hear about us?
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12
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