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Your Personal Details

Club

First Name

Last Name

Date of Birth

Gender

Male

Female

Password

Confirm Password

Cell Phone

Home Phone

Work Phone

Street

Suburb

City

State

Postal Code

Country

Occupation

Behavioral Information

Preferred Language

Start Date

First Payment Date

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Organize Payment in Facility

Membership

Foundation stage one 9 month new member

Price

$79.90 Fortnightly by Billing

Promotion

$0.00 until

Account Credit

applied after sign-up

Membership Start Date

Minimum Term

9 months

First Payment Date

Prorated Upfront Fee

Transaction fees may apply

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