Heilman's Performance Online Adult Membership
This form should be submitted by members wanting to join the ONLINE June Program.
$59 per month
Have you participated in one of our programs before?
What is your name (first and last)?
What is your email?
What is your phone number with area code?
What is your age?
Were you referred by one of our members? If so, who referred you?
Thank you for signing up for HP's Online Adult Program! You will receive further information about our program and an invoice for payment soon. If you have any questions or concerns, please feel free to email Courtney at firstname.lastname@example.org or text her at 701-340-3931. We are excited to work with you!
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