TFC Barbell Club New Member Enrollment Form

NEW MEMBER ENROLLMENT FORM

First Name *

Last Name *

Street Address *

City & State *

Zip Code *

Email Address *

Phone Number *

Instagram Handle; type N/A if you don't have one *

How did you hear about us? *

What service are you signing up for? *

Type in a 4-digit PIN code for facility access; must be followed by the # sign for access *

Debit/credit card number to put on file for automatic drafts, one-time prorated fee, and apparel purchases *

Debit/credit card expiration date *

Street address debit/credit card is registered to *

Zip code debit/credit card is registered to *

Emergency Contact Name *

Emergency Contact Number *

Type your initials if you understand that a prorated monthly fee will be due today to begin your membership. You will be notified of the exact amount before being charged. *

Type your initials if you understand that the monthly fee is $85 and will be automatically drafted on the 1st of every month. *

Type your initials if you understand that to cancel your membership, you must notify us by the 15th to ensure you're not charged on the 1st. *

Type your initials if you understand that we operate on an appointment-based model and that you must book your session(s) before arriving to the facility. How-to details will be sent in a confirmation email. *

Type your initials if you understand that by completing this form, you're enrolling in a monthly membership. If you wish to take a tour before joining, please use the Contact Us form. *

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7517 Orr Rd. Charlotte, NC 28213

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NEW MEMBER ENROLLMENT FORM

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2017 Copyright. The FitFat Coach®. All Rights Reserved

2017 Copyright. The FitFat Coach^®. All Rights Reserved