By inserting your electronic signature and initials on this document, you agree your electronic signature and initials are the legally binding equivalent to your handwritten signature, and you are also confirming that you are the individual named in the electronic signature and initials, and that you are authorized to sign this document.

This is an agreement made on (date specified below), between Ironstone Barbell, LLC, a limited liability company organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office located at 2004 Pleasant View Road, Coopersburg, PA 18036, and
Date: *
Full Name: *
Full Address: *
Date of Birth: *
Phone number *
Email Address: *
Emergency Contact Full Name and Relationship: *
Emergency Contact Phone Number: *
Whereas (Initial Below) desires to become a member of Ironstone Barbell, LLC and cannot become a member without agreeing to the rules and regulations set forth below and abiding by the terms of this agreement;
Terms and Agreements:
Now, therefore, for and in consideration of the mutual covenants contained in this agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows:
Membership Fees and Cancellation:
Membership use and services must be paid for in advance. All fees and schedules are subject to change without notice. At the present time, membership fees are as follows:
Membership Type: *
Price of membership is to be discussed with Maggie or Sam (or employee) at time of enrollment.
Credit Card Number *
Expiration Date *
Security Code *
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