Club Membership Registration Form

Project Club Membership Registration

Complete the form below to sign up for our membership service.
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Post Code
Birth Date:

DayMonthYear
Terms and Conditions of Membership, please read carefully
You have chosen the Health Club Membership, which is maximum of 6 Infrared or Pressotherapy treatments in a calendar month. Which term and payment plan would you like (one Treatment is usually $49)
Bank Account Number
Name of Account
Type a question
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
Should be Empty: