MEMBER INTAKE/RENEWAL FORM
Thank you so much for your patience and understanding as we navigate the current situation and as we begin our slow re-open process. Please note: we are not yet allowed to activate our 24 hour door.
First and Last Name
Billing Address (please include street, unit number, city, province/state, and postal code/zip)
Are you re-starting your currently paused membership due to COVID OR purchasing a new membership?
Re-starting my paused membership
Purchasing new membership
What day would you like it to restart or activate?
If you're simply re-starting an existing membership, please disregard the next section and click submit down below.
If purchasing new, please indicate what type of gym membership you would like (price does not include tax):
Single Month Gym $59
3 Month $147
Month to Month Auto-Renewing $55
Credit Card Number
CVV Security Code (3 digit code on back of card)
I understand that by submitting this form, I authorize PURE Gym & Juicery (1081310 BC LTd.) to charge my credit card with the above information.
Any additional comments or concerns? Please let us know.
READY? Let's do this!!
Click submit and let's get started!
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