PLEASE RETURN COMPLETED AGREEMENT TO: Kellie Green – kgreen@nfp.comPlease Return Completed Agreement • November 3rd, 2016
At the end of your initial term, your contract will expire, at which time you will have the option to renew your agreement for an additional twelve month period under the then current terms and conditions of the Corporate Wellness Program between “The Company” and Gold’s Gym. Member represents, acknowledges and agrees is duly eligible through “The Company” as of the date below to utilize a business Gold’s Gym Membership Agreement upon terms set by “The Company”. Member’s membership privileges shall be honored by Gold’s Gym upon receipt of this signed and dated Membership Agreement and in accordance with the terms and conditions of the Corporate Wellness Program between “The Company” and Gold’s Gym. In the event that Member’s eligibility to participate in “The Company’s” Corporate Wellness Program is terminated for any reason, Gold’s Gym reserves the right to seek membership dues directly from The Company.
PLEASE RETURN COMPLETED AGREEMENT TO: Benefits Specialist Kathy Monahan at Kmonahan@stcharlessd.orgPlease Return Completed Agreement • March 29th, 2017
Primary Member: $18.00 monthly Family Add-Ons: (Per Person) $15.00 monthly MEMBERSHIP TERM: No Contract Annual Fee: $0 ENROLLMENT FEE: $0 PROCESSING FEE: $0
PLEASE RETURN COMPLETED AGREEMENT TO: Kim Viviano @ kviviano@northwestschools.netPlease Return Completed Agreement • December 12th, 2016
MEMBERSHIP AGREEMENT FOR NORTHWEST SCHOOL DISTRICT Current Gold’s Gym Member? : Yes No If yes, please write Barcode / Keycard #: Date: Employer /Employee ID#: MemberName: Birth date: Sex: Male Female Address: Home/Cell Phone: City: Work Phone: State: Zip code: Emergency Contact Name: Email: Emergency Contact No.: Household Add-On #1& Home/Cell Phone: Birth date: HAO Signature #1: Sex:M F Household Add-On #2& Home/Cell Phone: Birth date: HAO Signature #2: Sex:M F Household Add-On #3& Home/Cell Phone: Birth date: HAO Signature #3: Sex:M F (Household Add-On must reside at the same address as Primary Member.) Opt-In: Gold’s Gym may use my email address to communicate with me about upcoming events, special Gold’s Gym member offers, and other information. Opt-In: Gold’s Gym and its marketing partners may use my email address and other personal inf
