Membership Form Step 1 of 2

Please note we are unable to process your membership without

both steps being submitted.

First name

Last name

Birthday

Day

Month

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Direct Debit Membership Type - All Direct Debit memberships will include a £25.00 joining fee upon signing up

Metro Contract £55.00 - 12 Month Fixed Payment*

Metro Non Contract £60.00

Club Contract £70.00 - 12 Month Fixed Payment*

Club Non Contract £75.00

Optional Add-Ons

Styku - 3D Body Scan - £40.00 - Single Payment

Coach in Your Pocket - 4 week Training Plans - Free

These optional services are provided by one of our freelance instructors Hollie McVittie via her business Joy Training Ltd. By ticking you agree to share your email address with Joy Training Ltd.

I hereby declare that the details given above are, to the best of my knowledge, correct and I agree to the terms and conditions of the

Membership Type and to abide by the Rules of the Club as seen in the terms and conditions. It is the responsibility of the member to contact Carrefour regarding any amendments pertaining to membership type chosen. All memberships will continue to be debited automatically in

accordance with our direct debit mandate policy.

I give consent to Carrefour Health Clubs holding my medical data for Health and Safety purposes. Please list below any medical conditions:

Additional Information

Choose your start date

Signed

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Membership Form Step 2 of 2

Submit Direct Debit Form