Element Fitness Membership Registration

Please complete and submit the following membership agreement information. Please carefully read our membership agreement before submitting.

Member Information

Name(s) (*)
Name is required.
Home Address (*)
Home Address is required.
City (*)
City is required.
State (*)
State is required.
Zip (*)
Zip Code is required.
E-mail (*)
Invalid email address.
Home Phone (*)
Home Phone is required.
Business Phone
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Emergency Contact
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Emergency Contact Phone
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Other Member Information

List Others on Membership and Birthdates
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Invalid Input
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Membership Plan

Membership Type (*)
Selecting a Membership Type is required.
Membership Plan (*)
Please tell us how big is your company.
Membership Fees
Initiation Fee:$ 49.00
Monthly Dues: 39.00
Monthly Dues Tax: 3.52
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Due At Signing:$91.52
Monthly Dues Plus Tax:$ 42.52
Membership Fees
Initiation Fee:$ 0.00
Annual Dues: 359.40
Annual Dues Tax: 32.04
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Due At Signing:$391.44
Monthly Dues Plus Tax:$ 0.00
Membership Fees
Initiation Fee:$ 0.00
Monthly Dues: 29.95
Monthly Dues Tax: 2.70
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Due At Signing:$ 32.65
Monthly Dues Plus Tax:$ 32.65
Membership Fees
Initiation Fee:$ 49.00
Monthly Dues: 64.00
Monthly Dues Tax: 5.78
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Due At Signing:$118.78
Monthly Dues Plus Tax:$ 69.78
Membership Fees
Initiation Fee:$ 0.00
Annual Dues: 768.00
Annual Dues Tax: 63.36
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Due At Signing:$831.00
Monthly Dues Plus Tax:$ 0.00
Membership Fees
Initiation Fee:$ 0.00
Monthly Dues: 54.95
Monthly Dues Tax: 4.96
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Due At Signing:$ 59.91
Monthly Dues Plus Tax:$ 59.91
Membership Fees
Initiation Fee:$ 49.00
Monthly Dues: 89.00
Monthly Dues Tax: 8.03
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Due At Signing:$146.03
Monthly Dues Plus Tax:$ 97.03
Membership Fees
Initiation Fee:$ 0.00
Monthly Dues: 1068.00
Monthly Dues Tax: 88.11
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Due At Signing:$1,156.11
Monthly Dues Plus Tax:$ 0.00
Membership Fees
Initiation Fee:$ 0.00
Monthly Dues: 89.00
Monthly Dues Tax: 8.03
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Due At Signing:$ 97.03
Monthly Dues Plus Tax:$ 97.03
Membership Payment Method

Method of Payment (*)
At least one Primary Interest is required.
Bank Name
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Bank Transit No.
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Bank Account No.
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Credit Card
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Credit Card Number
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Credit Card Expiration Date (MM/YY)
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Membership Agreement Acknowledgement

Membership Agreement (*)
Reviewing and Agreeing to Membership Agreement is required.