Vigor Membership Form

Vigor Membership
Are you registering as a new Vigor member?*

YesNo
How did you find out about us?

Your contact info
Name*

First NameLast Name
Mobile Number*
Please enter a valid phone number.
Email*
example@example.com

Your membership
These are your membership options, please note the Silver and Gold options include coaching programs.
Membership options*
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BronzeAnnual Group Exercise
$200AUD



SilverAnnual Basic Coaching Program
$800AUD



GoldAnnual Detailed Coaching Program
$1,600AUD



Total

$0.00AUD
After completing your registration you will be prompted for payment.
Should be Empty: