Customise your membership

You have selected <%membership_package.name%> at <%centre_details.name%>.

Membership Type - <%membership_package_cost.membership_type_name[0].membership_type_name%>.

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<%currency_symbol%><%customer_billing_details.selected_frequency_amount%> <%currency_symbol%><%setPriceForSelectedFrequency(customer_billing_details.payment_frequency, membership_package_cost.price)%> Weekly <%currency_symbol%><%promotional_code.new_total%> <%currency_symbol%><%membership_package_cost.price + customer_billing_details.joining_fee%> OneOff

<%currency_symbol%><%promotional_code.calculated_dd < 0 ? 0 : promotional_code.calculated_dd%> <%currency_symbol%><%(membership_package_cost.price + customer_billing_details.joining_fee) < 0 ? 0 : (membership_package_cost.price + customer_billing_details.joining_fee)%> First

<%centre_details.name%>

<%membership_package.name%>

<%promotional_code.promo_code.sentence%>

<% error %>

Apply Remove

Fees

Select Payment Frequency:

<%t%>

Trial Cost

<%(promotional_code.promo_code.cost == null ? 0 : promotional_code.promo_code.cost) | currency%>

Joining Fee

<%customer_billing_details.joining_fee | currency%> <%promotional_code.new_joining_fee | currency%>

Pro-Rata Fee

<%customer_billing_details.pro_rata_amount | currency%> <%promotional_code.new_pro_rata_amount | currency%>

Month to Month <%membership_package_cost.term%> <%membership_package_cost.unit%> <%membership_package_cost.term%> <%membership_package_cost.unit%> <%membership_package_cost.no_of_vp%> visit passes
<%membership_package_cost.vp_expiry_in_months%> Months
(<%membership_package_cost.membership_name%>)

<%currency_symbol%><%setPriceForSelectedFrequency(customer_billing_details.payment_frequency, membership_package_cost.price)%> <%currency_symbol%><%promoFrequencyPrice()%> (<%customer_billing_details.payment_frequency%>) <%membership_package_cost.price | currency%> <%(promotional_code.new_weekly < 0 ? 0 : promotional_code.new_weekly) | currency%> (OneOff)

First Payment

<%customer_billing_details.payment_date%>

<%membership_package_cost.price + customer_billing_details.joining_fee + customer_billing_details.new_pro_rata_amount | currency%> <%promotional_code.calculated_dd + promotional_code.new_pro_rata_amount | currency%>

Payments

<%promo_plan.promo_schedule.count%> promo debits of <%promo_plan.promo_schedule.installment | currency%> from <%promo_plan.promo_schedule.start_date | date:'dd-MM-yyyy'%> to <%promo_plan.promo_schedule.last_debit_date | date:'dd-MM-yyyy'%>

<%charge.date_display%> <%charge.description%> (<%charge.days%> days)

<%charge.amount | currency%> (<%promo_plan.frequency%>)

The promo debits couldn't be worked out. Please re-apply the promo code or refresh the page before booking.

First Payment

<%customer_billing_details.payment_date%>

Payments

<%customer_billing_details.trial_cost_debit_date%>

<%customer_billing_details.payment_date%>

<%customer_billing_details.trial_cost | currency%>

<%customer_billing_details.joining_fee + customer_billing_details.pro_rata_amount + membership_package_cost.price | currency%> <%customer_billing_details.pro_rata_joining_and_weekly_amount | currency%>

Payments

<%customer_billing_details.prorata_joining_fee_debit_date%>

<%customer_billing_details.payment_date%>

<%customer_billing_details.trial_and_joining_fee_debit_date%>

<%customer_billing_details.pro_rata_debit_date%>

<%customer_billing_details.weekly_debit_date%>

<%customer_billing_details.joining_fee + customer_billing_details.pro_rata_amount | currency%> <%promotional_code.new_joining_fee + customer_billing_details.new_pro_rata_amount | currency%> <%customer_billing_details.joining_fee + promotional_code.promo_code.cost | currency%> <%customer_billing_details.trial_cost_joining_fee | currency%>

<%currency_symbol%><%setPriceForSelectedFrequency(customer_billing_details.payment_frequency, membership_package_cost.price)%> <%currency_symbol%><%customer_billing_details.selected_frequency_amount%> <%customer_billing_details.pro_rata_amount | currency%> <%promotional_code.new_pro_rata_amount | currency%>

Payments

<%promotional_code.promo_code.specific_charge_date%>

<%membership_package_cost.price + customer_billing_details.joining_fee + customer_billing_details.pro_rata_amount | currency%> <%customer_billing_details.accrue_weekly_fee | currency%>

OneOff Payment

<%customer_billing_details.payment_date%>

<%membership_package_cost.price + customer_billing_details.joining_fee | currency%> <%promotional_code.new_total | currency%>

Expiry Date

<% customer_billing_details.upfront_end_date %> <%promotional_code.new_upfront_end_date%>

Total min cost <%total_minimum_cost_for_direct_debit | currency%> over Month to Month <%membership_package_cost.term%> <%membership_package_cost.unit%>

YOUR DETAILS

<% error %>

Email *

First Name *

Last Name *

Gender *

Mobile number *

Date of birth *

Postal address *

Address

Suburb

City

State

Country

PostCode

Emergency contact

Emergency Name *

Emergency Mobile number *

Promo Code
<%promotional_code.promo_code.sentence%>

<% error %>

Continue

TERMS AND CONDITIONS

I declare that I am over the age of 18 and I agree to the <%direct_debit_value%> Upfront Terms and Conditions.

I agree to the Centre Terms and Conditions.

I / We authorise Global Payments Australia 1 Pty Ltd ACN 601 396 543 (User ID No 342190, 342191, 428198) to debit my/our account at the Financial Institution identified above through the Bulk Electronic Clearing System (BECS) in accordance with this Direct Debit Request. Please read the DDR Service Agreement. I/We authorize you until further notice to debit my/our account with all amounts which EZIDEBIT (NZ) LIMITED, the registered initiator of Authorization Code 0227418, may initiate by Direct Debit. I/We acknowledge and accept that the bank accepts this authority upon the conditions listed in the terms of this agreement. I confirm that I can operate and have sole authority for the nominated bank account. Please read the DDR Service Agreement.

PAYMENT

<% error %>

Promo Code
<%promotional_code.promo_code.sentence%>

<% error %>

Account Type *

Account Holder *

Account Country *

BSB *

Account Number Credit Card Number *

Credit Card Type *

Expiry Date *

<% error %>

Continue

SUMMARY

<%centre_details.name%>

<%membership_package.name%>

<%promotional_code.promo_code.sentence%>

<% error %>

Apply Remove

Fees

Select Payment Frequency:

<%t%>

Trial Cost

<%(promotional_code.promo_code.cost == null ? 0 : promotional_code.promo_code.cost) | currency%>

Joining Fee

<%customer_billing_details.joining_fee | currency%> <%promotional_code.new_joining_fee | currency%>

Pro-Rata Fee

<%customer_billing_details.pro_rata_amount | currency%> <%promotional_code.new_pro_rata_amount | currency%>

First Payment

<%customer_billing_details.payment_date%>

Payments

<%charge.date_display%> <%charge.description%> (<%charge.days%> days)

<%charge.amount | currency%> (<%promo_plan.frequency%>)

The promo debits couldn't be worked out. Please re-apply the promo code or refresh the page before booking.

First Payment

<%customer_billing_details.payment_date%>

Payments

<%customer_billing_details.trial_cost_debit_date%>

<%customer_billing_details.payment_date%>

<%customer_billing_details.trial_cost | currency%>

Payments

<%customer_billing_details.prorata_joining_fee_debit_date%>

<%customer_billing_details.payment_date%>

<%customer_billing_details.trial_and_joining_fee_debit_date%>

<%customer_billing_details.pro_rata_debit_date%>

<%customer_billing_details.weekly_debit_date%>

Payments

<%promotional_code.promo_code.specific_charge_date%>

<%membership_package_cost.price + customer_billing_details.joining_fee + customer_billing_details.pro_rata_amount | currency%> <%customer_billing_details.accrue_weekly_fee | currency%>

OneOff Payment

<%customer_billing_details.payment_date%>

<%membership_package_cost.price + customer_billing_details.joining_fee | currency%> <%promotional_code.new_total | currency%>

Expiry Date

<% customer_billing_details.upfront_end_date %> <%promotional_code.new_upfront_end_date%>

Total min cost <%total_minimum_cost_for_direct_debit | currency%> over Month to Month <%membership_package_cost.term%> <%membership_package_cost.unit%>

#	Questions	Answer
1	Has your doctor ever told you that you have a heart condition or have you ever suffered a stroke?	Yes No
2	Do you ever experience unexplained pains in your chest at rest or during physical activity/exercise?	Yes No
3	Do you ever feel faint or have spells of dizziness during physical activity/exercise that causes you to lose balance?	Yes No
4	Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months?	Yes No
5	If you have diabetes (type I or type II) have you had trouble controlling your blood glucose in the last 3 months?	Yes No
6	Do you have any diagnosed muscle, bone or joint problems that you have been told could be made worse by participating in physical activity/exercise?	Yes No
7	Do you have any other medical condition(s) that may make it dangerous for you to participate in physical activity/exercise?	Yes No

<%centre_details.name%>

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Choose your membership term

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YOUR DETAILS

TERMS AND CONDITIONS

PAYMENT

SUMMARY

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<%centre_details.name%>

Customise your membership

Choose your membership term

Choose your membership type

Show Summary

YOUR DETAILS

TERMS AND CONDITIONS

PAYMENT

SUMMARY

Verify Email

Check Your Email

Enter the code that we sent to Be sure to check your junk or spam folder

The code is valid for 15 minutes

Enter the code that we sent to
Be sure to check your junk or spam folder