Platinum Referral Program - Gym Services

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Platinum Referral Program

Name(Required)

First Last

Email(Required)

Phone

Referred Members
Receive 2 weeks free membership for each referred member that upgrades their membership to Platinum or any new members that sign up to a Platinum membership.

First & Last Name

Referred(Required)

WG30 Upgrade

New Platinum Member

First & Last Name

Referred(Required)

WG30 Upgrade

New Platinum Member

First & Last Name

Referred(Required)

WG30 Upgrade

New Platinum Member

First & Last Name

Referred(Required)

WG30 Upgrade

New Platinum Member

Electronic Signature – Please enter your name(Required)

Members Signature(Required)

Staff Members Name(Required)

Staff Members Signature(Required)