78/79 yORK Associates sign up

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Month

Day

Year

Membership:*

Month-to-Month - $270.01 Due ($129 One Time Enrollment fee & $119 a Month + Tax)

Personal Training ($699 Due (+TAX) - 5 sessions + $119 a Month Membership Lock In) - First Month on Us

Personal Training ($1299 Due (+TAX) - 10 sessions + $119 a Month Membership Lock In) - First Month on Us

Proof of residence at 78/79 York Associates (ID, bill, mail etc.)*

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Expiry Date*

MONTH-BY-MONTH EFT AUTHORIZATION

I authorize York Club Fitness to charge my card for the selected membership above.

Cancellation: Recurring monthly dues can be cancelled, with 30 days advance notice prior to the next billing, either by confirmed email or in person with valid government-issued identification.

I authorize York Club Fitness to charge my card for the selected membership above (+TAX)

I understand that consecutive monthly payments will be charged to my account every month, beginning one month after the opening.

I acknowledge I will be charged the Maintenance fee: $60 semi-annually from 1-year anniversary.

I state that, to the best of my knowledge, I have no current medical condition that would prohibit me from participating in strength, aerobic, and/or flexibility activities. I further hold York Club Fitness, its agents and employees, harmless for any injury, damage or loss to my person and/or property sustained while in the club, except those due to negligence.

In case of emergency, please contact (person/phone #):*

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Yes, I consent to York Club Fitness contacting me regarding my membership, promotions, updates, and related information.

Agreement made on this date by and between York Club Fitness and the undersigned:

1433 York Ave, New York, NY 10075, USA

Mail: fitness@york.club

Tel: 917 715 8467

78/79 yORK Associates sign up

MONTH-BY-MONTH EFT AUTHORIZATION

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