Iron Hero's Delta Gym Membership
Member Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Emergency Contact Information
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Todays Date
*
Membership Monthly Payment (Mandatory 12 month agreement)
*
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( X )
Standard Membership
$35.00
$
35.00
Please call or text (419) 407-6571 to schedule your keyfob pick-up. **Only one membership submission per form please**
Hero Discount Membership
$30.00
$
30.00
For active and retired police firefighters, and EMS. Please call or text (419) 407-6571 to schedule your keyfob pick-up. **Only one membership submission per form please**
Active Military and Veterans
$25.00
$
25.00
For Active Military and Veterans Only Please call or text (419) 407-6571 to schedule your keyfob pick-up. **Only one membership submission per form please**
Student Athlete (13-18 yrs old)
$20.00
$
20.00
3 month commitment. Ages 13-18 years old that are still in middle/high school. Please call or text (419) 407-6571 to schedule your keyfob pick-up. **Only one membership submission per form please**
Age
13
14
15
16
17
18
Graduation Year
2024
2025
2026
2027
2028
2029
2030
PrePay Standard Membership Annual Payment (10% Savings)
$378.00
$
378.00
This includes all 12 months of the membership and then will roll over month-to-month. This does NOT include the semi-annual maintenance fees. Please call or text (419) 407-6571 to schedule your keyfob pick-up. **Only one membership submission per form please**
PrePay Hero (EMS, Police, Firefighter) Membership Annual Payment (10% Savings)
$324.00
$
324.00
This includes all 12 months of the membership and then will roll over month-to-month. This does NOT include the semi-annual maintenance fees. Please call or text (419) 407-6571 to schedule your keyfob pick-up. **Only one membership submission per form please**
College Break Rate
$40.00
$
40.00
For college students home for school break. No Contract with this.Please call or text (419) 407-6571 to schedule your keyfob pick-up. **Only one membership submission per form please**
PrePay Active Military or Veteran Membership Annual Payment (10% savings)
$270.00
$
270.00
This includes all 12 months of the membership and then will roll over month-to-month. This does NOT include the semi-annual maintenance fees. Please call or text (419) 407-6571 to schedule your keyfob pick-up. **Only one membership submission per form please**
Family Membership
$100.00
$
100.00
• 12-month commitment • Household members only • Two adult maintenance fees will be pulled from each date (March 2027 & September 2027)
Number of Family Members
1
2
3
4
5
6
7
8
Subtotal
$0.00
$
0.00
Tax
$0.00
$
0.00
Total
$0.00
$
0.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
*Hero Membership discount applies only to Military/Vets/EMS/Firefighter/Police Members
What Group Applies to You ex. Police Officer
Upload Your Hero ID or DD214 for Hero Membership Discount Members Only
Browse Files
Upload Hero ID or DD214
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