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Birthday
Month
Day
Year
Membership:
Month-to-Month - $272 Due + Tax ($129 One Time Enrollment fee & $143 a Month)
6 Month Commitment - $143 Due +Tax ($143 a Month, One Time Enrollment fee waived)

MONTH-BY-MONTH EFT AUTHORIZATION

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

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MOUNT SINAi sTAFF

20% off of our $179 membership

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