DAY MEMBERSHIP & 7 DAY MEMBERSHIP FORM

DAY MEMBERSHIP & 7 DAY MEMBERSHIP FORM

Please fill out form correctly
MEMBERSHIP OPTIONS

Day Membership - $20

7 Day Membership $45
Name*
Mobile Number *
Email*
example@example.com
Date Of Birth *

MonthDayYear
DOB
Male / Female *
Membership Type*

Day Membership $207 Day Membership $45
Day / Day's Required dd/mm/yy*
Please Select & Enter Quantity
prevnext( X )
DAY MEMBERSHIP One Day Membership - Please note * a credit card fee has been added.
$21.00NZD Quantity
Item subtotal:$0.00NZD

7 DAY MEMBERSHIP Seven Day Membership - Please note * a credit card has been added.
$46.45NZD Quantity
Item subtotal:$0.00NZD

Total

$0.00NZD
Additional Comments
By selecting YES I declare that the information provided is correct & agree to the declaration above.*

YES
PLEASE ENSURE YOU HAVE PAID FOR YOUR DAY MEMBERSHIP TO BE VALID
Should be Empty: