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Membership
Details
Terms & Conditions
Payment
Confirmation
Your Personal Details
Club
Kumeu Gym
First Name
Last Name
Date of Birth
Gender
Male
Female
Email
Password
Confirm Password
Cell Phone
Home Phone
Work Phone
Street
Suburb
City
State
Postal Code
Country
New Zealand
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Facebook Community Post
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Occupation
Emergency Contact
Name
Phone
Email
Relationship
Behavioural Information
Start Date
First Payment Date
promo_impact_start_date
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Membership
1 Month General Gym Membership
Description
Includes all Group Fitness Classes
Price
$85.00 Full Cost
Promotion
$0.00 until
Account Credit
applied after signup
Membership Start Date
Membership Length
1 months
Prorated Upfront Fee
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