MembershipForm

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Full Name* This field is required.

First Name

Last Name

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E-mail* This field is required.

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

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Mobile phone number* This field is required.

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Address* This field is required.

Street Address

Street Address Line 2

City

Postal / Zip Code

Country

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Are you interested in a Membership or a Pass?* This field is required.Memberships: 4, 12 week or 1 year recurring contract with regular payments. Passes: single or multiple entry with a single payment upfront and valid until expiry or until all sessions are used.

Gym Membership

Pass

PT Membership

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My Products* This field is required.

My Bag

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Day PassSingle access to all facilities, including gym, classes and towel service.
€19+Edit
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Week PassTrain for a full week with access to all facilities, including gym, classes and towel service. One entry per day max.
€49+Edit
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4 week pass4 weeks access to all facilities, including gym, classes and towel service. One entry per day max.
€139+Edit
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Membership options* This field is required.Rates are before application of any discounts or free periods.

If you bought an Early Bird Week Pass its price will be deducted from your first membership payment (1 year contract only).

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PT Membership options* This field is required.

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January Promotion 4 weeks free + BonusPlease choose the Bonus benefit you would prefer

2x 1-on-1 Personal Training

8 extra weeks free gym membership

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Voucher or discount code

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When would you like your membership to start?* This field is required.Pick a date up to 2 month from today, If left empty, membership will start today. You will only be charged around the date when your membership starts.

Date

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Do you live or work in the Amsterdam post code 1016?* This field is required.Our neighbours receive a discount €10 off per 4 weeks on Gym Memberships.

YESNO

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Confirmation of home or work address in postcode 1016?Please confirm the type of address.

Name and address of my place of work (in postcode 1016) or any other comments

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Do you have an existing gym membership in Amsterdam that is running for longer than 1 month?TAKEOVER DEAL: Sign up for a 1 year membership and receive up 12 weeks free for the period that your Double Shift membership runs parallel with your old gym membership. The takeover period will be added to the year first membership term (so your initial contract term will be 1 yr + takeover period).

Gym/Chain Name

Branch Name (if applicable)

Membership number

Earliest possible termination date

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RelationshipPlease specify any relevant personal/family or corporate relationships with other members that you would like us note.

Such as 'partner of X' or 'employee of company Y'

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Choose payment method* This field is required.Please note we are unfortunately not able to charge virtual credit and debit cards.

Credit or Debit Cards (you will receive instructions separately to enter your details)

SEPA Incasso (Dutch bank accounts only)

Paid via employer/company

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SEPA Incasso (Dutch bank accounts only)* This field is required.

Name of Account Holder

IBAN number

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Credit or Debit Cards* This field is required.Due to data protection reasons, card details need to be provided separately. Please choose an option below.

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Membership Payment via Employer/Company* This field is required.Please enter company name. There must be an existing contract or agreement in place with Double Shift.

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OLD Choose payment methodPlease select the method for periodic membership payments. SEPA Incasso is currently only possible with Dutch bank accounts.

Select Payment Method

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Communication Preferences* This field is required.You agree that we can contact you with messages about. Please chose at least one.

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Any further comments or remarks

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Terms and Conditions* This field is required.

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Signature* This field is required.

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