Contract No. __________
Fit 4 Life
6903 Londonderry Way
Union City, Georgia 30291
New Renewal Add On Card Code ___________
Name __________________________________________________ E-Mail___________________________________________
Address________________________________ City_________________________ State____________ Zip__________________
Home Phone__________________ SS #_________________ DL#______________________DOB ___/___/___ WT_____ HT_______
Occupation_______________________________ Employer________________________ Work # ___________________________
Emergency Contact __________________________ Phone #_______________________ Relationship _____________________
Additional Family Members to Add to Membership
Name ________________________ Birthday _________________ Relationship ________________ SS # _________________
24hr. access _______ Aerobic _______ Kids Program ________
Membership Term Is: ___________ Beginning______________ Expires _____________
Total Sale Price: ___________
Card/Registration __________ Down Pmt: _ __ _____ __ Cash ___ Check ___ Charge
TOTAL Pmt Schedule: ___PIF ____ Installments
Down PMT. Rcv’d: $ ________________
Unpaid Balance: $________________
_______Monthly Installments of $_______ plus $______ processing fee with first payment due on ___/__/__
BILLING AND RENEWAL – I authorize Fit 4 Life, Inc to charge my account on the _____ of each month beginning _______ In the amount of _________ for an initial period
of ______ months. I extend the authorization to Fit 4 Life Fitness Inc @6903 Londonderry Way Union City, GA 30291/ and or its agents or firms engaged in the business of
processing check and charge card debits. Membership Agreement will automatically renew with an additional $10.00 per month, subject to current Club policies unless a
new agreement is signed before end of agreement term. Member may cancel Renewal by giving Fit 4 Life 24Hr. a minimum of thirty (30) days in advance of desired
cancel date in writing, and only after original Membership Agreement is complete. If account becomes closed or stop payment there will be an additional $5.00 added to
your monthly fees per member listed. Month-to-month agreements are required monthly payments until a thirty-day advance notice of cancellation. For more
information about your agreement contact Fit 4 Life @ 770-774-0100. _______________________________________________
AUTHORIZATION AREEMENT FOR PRE-AUTHORIZED BANK PAYMENT
I (WE) HEREBY AUTHORIZE Fit 4 Life, to initiate debit entries, and corrections thereto, to my (our) Checking, Savings, or Charge Card account indicated below and the
depository or credit card named below hereinafter called DEPOSITORY ( bank name) _____________________________ DEPOSITORY
(acct#)______________________________________________ CREDIT CARD EXPIRATION DATE _________________
TRANSIT/ABA (routing) NO.______________________________ ACCOUNT NO. _____________________________.
This authority is to remain in full force and effect until COMPANY and DEPOSITORY have received written notification from me (or either of us) of its termination in such
time and in such manor as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it, or until all payments due under the contract have been made.
NAME (s) _______________________________________________ CONTRACT NUMBER _____________________________
Member Agrees: to abide by all the membership rules and regulations of the club. In recognition of the possible dangers connected with any physical activity, member
hereby knowingly and voluntarily waives any right of cause of action of any kind whatsoever arising as the result of such activity from which any liability may or could
accrue to the club, its officers, agents, employees or instructors. Member agrees to a $8.00 late penalty fee if monthly payment is received more than 5 days past the due
date along with any other fees due etc: NSF, STOP PAYMENTS OR CLOSED ACCOUNTS. This late fee is applied to all outstanding balances every month. Should member
default, the entire amount of contract becomes due, and member agrees to pay all cost of collection, including collection agency fees, court cost, and reasonable
attorney’s fees, all of which may be paid or incurred by the holder of this note. Member also agrees no other representation is made other than what is agreed in writing
Failure to use facility will not relieve member of payment.
You the buyer have seven business days to cancel or make any changes to this contract. To cancel, mail or hand-deliver a letter to the following address: Fit 4 Life, Inc,
6903 Londonderry Way Union City, GA 30291. NOTE: Processing fee will not be refunded. Do not sign this contract if there are any blank spaces above. In the event
optional services are offered, be sure that any options you have not selected are lined through or that is otherwise indicated that you have selected these options. It is
recommended that you send your cancellation notice by registered or certified mail, returned receipt requested in order to prove that you did cancel. If you do not hand
deliver your cancellation, be sure to get a signed statement from an official of the spa, acknowledging your cancellation. To be effective, your cancellation must be
postmarked by midnight, or hand delivered by midnight on _________ 20_____, and must include all contract forms, membership cards, and any and all other documents
and evidence of membership previously delivered to you.
Date__________ Signature _________________________ Addit’l member ___________________________
RULES AND REGULATIONS (Subject to change without notice)
BUYER REPRESENTS, WARRANTS, AND ACKNOWLEDGES THAT THE BUYER IS IN GOOD PHYSICAL CONDITION AND ABLE TO UTILIZE
SELLER’S EQUIPMENT AND PERFORM THE EXERCISE RECOMMENDED BY SELLER. IN THE MEMBERSHIP GRANTED HEREBY, BUYER
RELEASES SELLER AND IT’S EMPLOYEES, ANGENTS, OFFICERS, DIRECTORS AND SHAREHOLDERS FROM ANY AND ALL LIABILITY, CLAIMS,
AND CAUSES OF ACTION, WHETHER KNOWN OR UNKOWN FOR PERSONAL INJURIES TO THE BUYER FORM OR IN ANY WAY RELATED TO
OR CONNECTED WITH THE USE OF THE FITNESS CENTER.
Note: 24 hr access will be revoked if member bring guest or open door for anyone when office is closed.
GUEST PRIVILEGE: Members may bring friends or relatives for guest visits for a fee of $5.00 which shall include use of the Fitness Center facilities during
office hours. Members may bring as many guests as they like. All guests must be at least 18 years of age. Minors will not be allowed in the facility.
NO SMOKING: No smoking is allowed in the Fitness Center.
ATTENTION: It is our experience that at various times during the year, for example, from mid-January through April or May, facility usage will vary and
increase substantially. As a result of these variations between different times of year and possibly different times of the day, there may be increased
attendance and what you may consider to be overcrowding compared to other times. This usage may be different from that which you are seeing at the time
this Membership Agreement is executed. Also, at peak times you may encounter times when you will have to wait for the use of showers, dressing rooms,
and possibly lockers. Such increased attendance and the possibility of what may appear to be overcrowding as compared to other time periods may cause
possible delays in your exercise routine over that which in encountered at other times. Although these delays may, in fact, never occur, we deem it our
responsibility to tell you this so that you may be fully aware of the possibility.
EXERCISE CLOTHING: MEN: Gym shorts with T-shirt, sweat suit, or spandex; sweat socks and running shoes, aerobic shoes, or tennis shoes must be
worn at all times in the exercise area. No jeans, hard sole shoes, or cut-offs; a towel or mat is required for exercise room and aerobic floor.
EXERCISE CLOTHING: WOMEN: Tights and leotard, sweat suit, or spandex; sweat socks and running shoes, aerobic shoes, running shoes or ballet
slippers should be worn at all times. Swimsuits and lose fitting shorts are not permissible.
EXERCISE EQUIPMENT: No standing on machines or benches; no adding extra weight to machines. Please towel off benches and machines after use.
No leaning weights against equipment or walls. All weights must be returned to racks after use. No dropping weights or dumbbells. No food or drinks in
CONDUCT OF MEMBERS: No foul language or unruly conduct of members will be tolerated. The continuance of such conduct after notice by a Fitness
Center employee may result in termination of membership.
MAINTENANCE OF FACILITIES: In the event that the Fitness Center is closed for repairs or other maintenance work related to the facilities or in the event
that the facilities are unavailable for member’s use due to damage by fires, act of God, catastrophe or accident, or any other causes other than the willful
closing of the facility by the Fitness Center, the membership time shall be extended for a period equal to the time of such unavailability.
VIOLATIONS OF POSTED RULES AND REGULATIONS: Reasonable rules and regulations may be posted from time to time at the Fitness Center
regarding the health protection of safety o members. All Membership Agreements shall be subject to strict compliance therewith. Failure by member to
comply shall permit the management to revoke such Membership Agreement, said revocation to be effective upon notice to member.
FACILITIES INCLUDED IN YOUR FIT 4 LIFE MEMBERSHIP: ALL EXERCISE EQUIPMENT.
WHAT IS NOT INCLUDED: BRING YOUR OWN LOCK TO SECURE VALUABLES IN ONE OF THE LOCKERS PROVIDED (LOCK MUST BE REMOVED
AT THE END OF EACH VISIT ALONG WITH YOUR PERSONAL PROPERTY). BRING YOUR OWN TOWEL (FOR SANITARY REASONS).
You (the buyer) may cancel this agreement within 30 days from the time you knew or should have known of any substantial change in the service or programs available at the time
you joined. Substantial changes include, but are not limited to changing from being coed to being exclusively for one sex and vice versa. To cancel, send written notice of your
cancellation to the address provided in this contract for sending a notice of cancellation. The best way to cancel is by keeping a photocopy and sending the cancellation by
registered or certified mail, returned receipt requested. If a member becomes totally or permanently disabled during the membership term, he or she may cancel the contract; the
health spa is entitled to a reasonable predetermined fee in such an event in addition to an amount equal to the value of services made available for use. If a consumer has a
history of heart disease, he should consult a physician before joining a spa. If a member dies during the membership term or any renewal term, his or her estate may cancel the
contract; the health spa is entitled to a reasonable predetermined fee in such event in addition to an amount computed by dividing the total cost of the membership by the total
number of months under the membership and multiplying the result by the number of months expired under the membership term. Reasonable proof of death may be required
under this paragraph. Under this contract, no further payments shall be due to anyone, including any purchaser of any note associated with or contained in this contract, in the
event the health spa at which the contract is entered into ceases operation and fails to offer an alternate location, substantially similar, within ten miles.
Member may cancel if member moves 25 miles or more from available Fit 4 Life with a cancellation fee of $50 per person listed. Written notice and proof of move must be sent to
gym within 30 days to avoid additional charges. Member is responsible for any past or overdue payments at the time of cancellation.
*If you receive a free month with your membership agreement and cancel or terminate your membership before your membership agreement term ends you will forfeit the first
month free and will be charged the monthly fee along with a $50.00 cancellation fee.
*There is a $10.00 replacement key fee for any lost, stolen, or broken keys.
State law requires that we inform you that should you (the buyer) choose to pay for any part of this agreement in advance; be aware that you are paying for future services and
may be risking loss of your money in the event this health spa ceases to conduct business or member move out of area. Health Spas do not post bond, and there may be no other
protections provided to you should you choose to pay in advance.
Signature of Member Date
Additional Member Signature Date
FIT 4 LIFE 24HR. FITNESS IS NOT RESPONSIBLE FOR LOST, STOLEN, OR DAMAGED PERSONAL