Membership Application
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Membership Type (Payment due upon first visit)
Standard Monthly Membership($50)
Standard 3-Month Package-20% off ($120) Save $30
Standard 6-Month Package-25% off ($225) Save $75
Standard 12-Month Package-30% off ($420) Save $180
Wisdom Monthly Membership-65+ ($30)
Wisdom 3-Month Package-20% off ($72) Save $18
Wisdom 6-Month Package-25% off ($135) Save $45
Wisdom 12-Month Package-30% off ($252) Save $108
Student Monthly Membership (Valid Student ID, Class Schedule & .edu address) ($25)
Student 3-Month Package-20% off ($60) Save $15
Student 6-Month Package-25% off ($112.50) Save $37.50
Student 12-Month Package-30% off ($210) Save $90
Enter Promo Code if you have one:
Once you submit your form, we will invoice you.
Submit
Should be Empty: