Additional Recurring Membership

Taylors Wanderers Community Gym

Membership form for an additional partner or family members (living in the same residence).
To keep exercising affordable, we offer 'Add on' memberships at half the price of a standard membership!

This type of membership should only be completed if you are adding a family member or your partner onto your membership. They will be issued a separate tag.

The minimum membership term is three months. Following this period, you will be able to cancel at any time.
Today's Date

DayMonthYear
Date
I confirm this form is being completed for my:*

partnerfamily member
What is your gym tag number?*
If you are waiting on your new tag please enter 000 into this box.
Your Name*

First NameLast Name
Name of person you are adding to your account*

First NameLast Name
Your email*
Note that this email will double as the 'customer' email and receive all receipts and other notifications for the account. Please take care to enter it correctly.
Their email
example@example.com
Date of Birth*

DayMonthYear
For person being added to account.
Phone Number*
For person being added to account.
Their Gender*

MaleFemale
Ethnicity*
For person being added to account.
Age Calc - todays date

DayMonthYear
Date
Age
Address*

Street Address

Suburb

CityState / Province

Post Code

Membership Options*

Weekly Add On Membership50% off regular membership

$4.50NZD for each week

Monthly Add On Membership50% off regular membership

$15.50NZD for each month

Annual Add On Membership50% off regular membership

$160.00NZD for each year

Total

$0.00NZD

Taylors Wanderers Community Gym