Iron Hero's Bluffton Gym Membership
Member Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Emergency Contact Information
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Todays Date
*
Membership Monthly Payment (Mandatory 6 month agreement)
*
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( X )
Standard Membership
$30.00
$
30.00
Please call or text (419) 407-6571 to schedule your keyfob pick-up. While we strive to give new members access right away, please allow up to 48hrs to receive your keyfob. **Only one membership submission per form please**
(2) Adults Same Household
$50.00
$
50.00
This option covers for (2) Adults in the same household
Hero Discount Membership
$25.00
$
25.00
This option is for active firefighters, police, and EMS. Please call or text (419) 407-6571 to schedule your keyfob pick-up. While we strive to give new members access right away, please allow up to 48hrs to receive your keyfob. **Only one membership submission per form please**
Active Military and Veterans
$25.00
$
25.00
Active Military and Veterans Only. Please call or text (419) 407-6571 to schedule your keyfob pick-up. While we strive to give new members access right away, please allow up to 48hrs to receive your keyfob. **Only one membership submission per form please**
Student Athlete (Ages 13-18 yrs)
$20.00
$
20.00
3 month commitment. This option is for 13-18 yr olds still in middle/high school. Please call or text (419) 407-6571 to schedule your keyfob pick-up. While we strive to give new members access right away, please allow up to 48hrs to receive your keyfob.**Only one membership submission per form please**
Age
13
14
15
16
17
18
Graduation Year
2024
2025
2026
2027
2028
2029
2030
(2) Students in Same Household (Ages 13-18)
$30.00
$
30.00
This option covers (2) Students ages (13-18 yrs old) that reside in the same household.
Age
13
14
15
16
17
18
Graduation Year
2024
2025
2026
2027
2028
2029
College Rate
$40.00
$
40.00
For college students home for school break. No Contract with this.Please call or text (419) 407-6571 to schedule your keyfob pick-up. **Only one membership submission per form please**
Quantity
1
2
3
4
5
6
7
8
9
10
PrePay Standard Membership Annual Payment (10% Savings)
$324.00
$
324.00
This includes all 12 months of the membership and then will roll over month-to-month. This does NOT include the semi-annual maintenance fees. Please call or text (419) 407-6571 to schedule your keyfob pick-up. **Only one membership submission per form please**
PrePay Hero Membership Annual Payment (10% Savings)
$278.00
$
278.00
This includes all 12 months of the membership and then will roll over month-to-month. This does NOT include the semi-annual maintenance fees. Please call or text (419) 407-6571 to schedule your keyfob pick-up. **Only one membership submission per form please**
Subtotal
$0.00
$
0.00
Tax
$0.00
$
0.00
Total
$0.00
$
0.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
*Hero Membership discount applies only to Military/Vets/EMS/Firefighter/Police Members
What Group Applies to You ex. Police Officer
Upload Your Hero ID or DD214 for Hero Membership Discount Members Only
Browse Files
Upload Hero ID or DD214
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