JB Personal Coaching
HOMEPAGE
360HEALTHSHARE
MONTHLY CANCELLABLE
1 YEAR MEMBERSHIP
CONTACT
Op de hoogte gebracht van JB Personal Coaching door:
(required)
Zina Rosa
Male or female
(required)
Male
Female
Nationality
(required)
Full name (Firstname + Lastname)
(required)
E-mail
(required)
Phone number
(required)
Adress (Street + Postal Code)
(required)
Housenumber
(required)
City
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Private or Company
(required)
Private
Company:
Fill in (if via Company)
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
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
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:
(required)
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:
(required)
I agree that I have read this contract carefully.
Date of today:
SIGN IN
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