Redirecting to mobile view. Please click here if redirection does not work.
×
Please "Confirm" to add payment details for Stripe realtime payment. Please Note the CC details you add now, will NOT be saved.
Loading...
Membership
Details
Terms & Conditions
Payment
Confirmation
Your Personal Details
Club
Fitness Now Birkenhead
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
How did you hear about us?
Please select an option
Coffix Birkenhead
Event
Facebook
Flyer
Google
Gym Signage
Instagram
Physio Action Client
Word of Mouth
Occupation
Emergency Contact
Name
Phone
Email
Relationship
Behavioral Information
Start Date
First Payment Date
promo_impact_start_date
Add Profile Photo
Take Photo
Upload Photo
Connecting to webcam...
Undo
Confirm
Undo
Membership
PROMO (Bring a Guest)+ 1 Membership $22.95
Price
$22.95 Weekly by Billing
Promotion
$22.95 until
Account Credit
applied after sign-up
Membership Start Date
Minimum Term
1 year
First Payment Date
Prorated Upfront Fee
Transaction fees may apply
Back
Sign Up
Membership Software by
GYM
MASTER
×
