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VIRTUAL MEMBERSHIP AGREEMENT FORM

TERMS OF AGREEMENT:

VIM Virtual Memberships are non refundable and non transferable.

I Agree

VIM Virtual Memberships may be frozen and are subject to a $15 per month freeze fee. Virtual Membership add on can only be frozen for no longer than 3 months in a 12 month period and require a 15 day notice prior to freezing the account from your next billing date. All freeze requests MUST be done on a Membership Freeze Form prior to the freeze taking effect. Freeze requests must align with your billing date. 

I Agree

VIM Virtual Memberships are paid in advance each month and will be open ended and on going unless cancelled by completing a cancellation form.

I Agree

VIM Fitness requires a 45 day notice of cancellation by way of completing a cancellation form for all auto-renewed memberships.

I Agree

There is a $20 service charge in addition to the membership dues for a declined payment.

I Agree

VIM Fitness urges all members to obtain a physical examination from a doctor before using any exercise equipment, machinery, or apparatus designed for exercising. Any physical activity should be at members sole risk. Member understands that the agreement to use our facilities and services shall be members entire responsibility and that VIM Fitness is not liable for any claims, damages, demands, and (or) injuries to members person or property arising out of or in connection with the use of the facility, services, and property of VIM Fitness Member hereby will not hold VIM Fitness, its owners, or employees responsible for claims brought against them by member(s) on behalf of member for any such injuries or claims. VIM Fitness reserves the right to modify the terms of this agreement with a 30 day notice prior to changes. Consumers right to cancellation. You may cancel all memberships, with the exception of the 12-month commitment memberships, without any penalty or further obligation by submitting a cancellation waiver.

First Members Name

First Name*

Middle Name

Last Name*

Phone*
First Members Date of Birth*
First Members Signature*
Second Members Name

First Name*

Middle Name

Last Name*
Second Members Date of Birth*
Third Members Name

First Name*

Middle Name

Last Name*
Third Members Date of Birth*
Fourth Members Name

First Name*

Middle Name

Last Name*
Fourth Members Date of Birth*
Fifth Members Name

First Name*

Middle Name

Last Name*
Fifth Members Date of Birth*
Sixth Members Name

First Name*

Middle Name

Last Name*
Sixth Members Date of Birth*
Seventh Members Name

First Name*

Middle Name

Last Name*
Seventh Members Date of Birth*
Eighth Members Name

First Name*

Middle Name

Last Name*
Eighth Members Date of Birth*
Ninth Members Name

First Name*

Middle Name

Last Name*
Ninth Members Date of Birth*
Tenth Members Name

First Name*

Middle Name

Last Name*
Tenth Members Date of Birth*
Members Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
What Company I work for:

Company *

Position
I found out about VIM through:
Direct Mailer
Social Media Promotion (Facebook, Instagram)
Google
Company Referral
Referred from another member
VIM's Website
Walking by
Returning Member

Member's name who referred me
I am purchasing a VIM Virtual Membership:
* VIM Virtual Membership gives members access to VIM Virtual Live Stream classes, Access to our On-Demand WOD Section within Mindbody, and Les Mills On Demand platform. *
Activate Regular Membership (existing member)
Monthly Virtual Rate: $39 monthly. Down Payment:$78 (Includes first and last month).
Virtual 1-Month Only: $59
N/A
I hereby authorize VIM Fitness Corporation to charge my account:
VISA
MASTER CARD
AMERICAN EXPRESS
DISCOVER
CHECKING ACCOUNT (PLEASE PROVIDE A VOIDED CHECK AT RECEPTION)

CREDIT CARD # (if not applicable type N/A). *

EXPIRATION DATE (if not applicable type N/A). *

Today's Date *
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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