Member Details

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Payment Frequency:
Rate: $
Next Payment: $ ()

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Debit Authority Form






Welcome to Project Better!


You’ve taken the first step to a healthier you!


You have signed up for:
Membership Type: *****
Start Date: *****
Contract Length: *****
Payment amount: *****
Debit Day: *****
Home Club: *****
This is an ongoing membership which will continue as selected until paused, cancelled or
modified. If you wish to make changes you can do so through the online portal.
We will send you an email with everything you need to get started.
Look forward to seeing you in the gym!


users avatar
Name
Molly Smith

Email Address
mollysmith@gmail.com

Mobile Phone
+61 419 475 184

Date of Birth
12/01/1991
Gender
Female

Address
23 O'Neil Lane, Collingwood, VIC, 3066

Password
**************
Emergency Contact
Anna Smith

Emergency Contact Phone
+61 485 294 294

Emergency Contact Relationship
Mother
Payment Method
Credit Card

Payment Frequency
Monthly

First Payment Date
12 OCtober, 2022