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Membership
Details
Terms & Conditions
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Confirmation
Your Personal Details
Club
105Fitness
First Name
Last Name
Date of Birth
Gender
Male
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Email
Password
Confirm Password
Cell Phone
Home Phone
Work Phone
Street
Suburb
City
State
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Australian Capital Territory
New South Wales
Northern Territory
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Western Australia
Postal Code
Country
Australia
Notes
Occupation
Emergency Contact
Name
Phone
Email
Relationship
Medical Information
Behavioural Information
Start Date
First Payment Date
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Membership
Ongoing Membership, 3 Month Minimum Contract
Price
$35.90 Fortnightly by Billing
Signup Fee
$20.00
Promotion
$0.00 until
Account Credit
applied after signup
Membership Start Date
Minimum Term
3 months
First Payment Date
Prorated Upfront Fee
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