SIGN IN AS OUR DOMAIN RESIDENT Male or female (verplicht) Male Female I AM RESIDENT OF OUR DOMAIN AND I USE THE GYM. I WANT A PERSONALIZED PROGRAM AND … NO PERSONAL TRAINING 50€ PER MONTH | 12 MONTHS MEMBERSHIP PT 1x PER 4 WEEKS €60 PER MONTH | 12 MONTHS MEMBERSHIP PT 1x PER 2 WEEKS €75 PER MONTH | 12 MONTHS MEMBERSHIP PT 1x PER WEEK €100 PER MONTH | 12 MONTHS MEMBERSHIP Date of birth (verplicht) Nationality (verplicht) Full name (Firstname + Lastname)(verplicht) E-mail(verplicht) Phone number (verplicht) Adress (Street + Postal Code) (verplicht) Housenumber(verplicht) City (verplicht) Private or Company (verplicht) Private Company: Fill in (if via Company) SPORTS ONLY @ HOME W/ EQUIPMENT AND … NOT INTERESTED NO PERSONAL TRAINING 67,50€ PER MONTH | 12 MONTHS MEMBERSHIP PT 1x PER 4 WEEKS €92 PER MONTH | 12 MONTHS MEMBERSHIP PT 1x PER 2 WEEKS €125,- PER MONTH | 12 MONTHS MEMBERSHIP PT 1x PER WEEK €180,- PER MONTH | 12 MONTHS MEMBERSHIP SLEEP ONLY AND … NOT INTERESTED SLEEPCONSULT 1x PER 4 WEEKS €50,- PER MONTH | 12 MONTHS MEMBERSHIP SLEEPCONSULT 1x PER 2 WEEKS €80,- PER MONTH | 12 MONTHS MEMBERSHIP SLEEPCONSULT 1x PER WEEK €130,- PER MONTH | 12 MONTHS MEMBERSHIP PACKAGES W/ TRAINING EQUIPMENT 1X PER … WEEK(S) CONSULT NOT INTERESTED SPORTS + SLEEP 1X PER FOUR WEEKS 115€ PER MONTH | 12 MONTHS MEMBERSHIP SPORTS + SLEEP + NUTRITION 1X PER FOUR WEEKS 236€ PER MONTH | 12 MONTHS MEMBERSHIP SPORTS + SLEEP 1X PER TWO WEEKS 160€ PER MONTH | 12 MONTHS MEMBERSHIP SPORTS + SLEEP + NUTRITION 1X PER TWO WEEKS 281€ PER MONTH | 12 MONTHS MEMBERSHIP SPORTS + SLEEP 1X PER WEEK 230€ PER MONTH | 12 MONTHS MEMBERSHIP SPORTS + SLEEP + NUTRITION 1X PER WEEK 351€ PER MONTH | 12 MONTHS MEMBERSHIP Payment: (verplicht) Invoice Deposit to bankaccount – By filling in this form, you give us permission for sending you a mail. – I agree that I have read this contract carefully. – As a member, I agree to comply with the terms and conditions of membership; theseu003cbru003econditions are handed to me together with this form on http://www.jbpersonalcoaching.com. JB Personal Coaching may make reasonable changes to these rules at any time provided it gives advanced notice of these changes. – As a member, I agree to comply with the terms and conditions of the ‘Privacy beleid’ and the ‘Algemene voorwaarden’; these conditions are handed to me together with this form on http://www.jbpersonalcoaching.com. JB Personal Coaching may make reasonable changes to these rules at any time provided it gives advanced notice of these changes. I agree: (verplicht) I agree that I have read this contract carefully. Date of today: SIGN IN Δ Dit delen:TwitterFacebookVind ik leuk:Like Laden...