HPF Membership Change Form

Hamilton Park Fitness Membership Change Form
Name*

First Name / Primer Nombre Last Name / Apellido
Email *
example@example.com / ejemplo@ejemplo.com
Phone Number *
Please enter a valid phone number/ Por favor ponga un numero valido
What membership do you currently have?*
What membership do you currently have if not listed?*
What membership would you like to switch to?*
What membership would you like to switch to if not listed?
When would you like these changes to take effect?*

MonthDayYear
Date / Fecha
If you have upgraded your membership there will be a balance on your account due immediately. If you do not pay the balance the key-fob will not work at the door reader during unstaffed hours and your membership will be disrupted until you pay the balance.

If you have a credit card on file you need to give us permission to charge your credit card.
If you do not have a credit card on file please log into the member portal on the website to pay your balance.
Otherwise you will need to visit the gym during staffed hours to pay your balance.
Do we have permission to charge your credit card for any payment due?*

YesNo
Explain the situation if it needs to be
Please sign to authorize a payment for outstanding charges*

Clear
Should be Empty:

Hamilton Park Fitness Membership Change Form