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Membership
Details
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Your Personal Details
Club
Fitness on Capri
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Last Name
Date of Birth
Parent Name
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Email
Password
Confirm Password
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Home Phone
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Suburb
City
State
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Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
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Western Australia
Postal Code
Country
Australia
How did you hear about us?
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Functional Health
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Name
Phone
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First Payment Date
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Membership
3 Day Free Trial
Description
3 Day Free Trial - MUST SHOW LOCAL ID WHEN SIGNING UP
Price
$0.00 Full Cost
Signup and Key Tag Fee
$25.00
Promotion
$0.00 until
Account Credit
applied after sign-up
Membership Start Date
Membership Length
3 days
Prorated Upfront Fee
Transaction fees may apply
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