P&M DAILY MEMBERSHIP
ONE DAY USE SELECTED DAYS - ONE FEE PER PERSON PER DAY.
Primary Contact
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
MEMBERSHIP CONDITIONS / WAIVERS
Signature
*
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DAY USE GOOD FOR DAY SELECTED ABOVE ONLY. NO REFUNDS OR RESCHEDULES.
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DAY USE FEE
GOOD ONLY FOR DAY SELECTED
$
20.00
Credit Card
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