Membership Change Form

Name *

Email *

Current Membership Type

PlatinumGold Gym/Group FitnessGold Gym/PoolGold Group Fitness/PoolSilver PoolSilver GymSilver Group FitnessCorp PlatinumCorp Gold Gym/Group FitnessCorp Gold Gym/PoolCorp Gold Group Fitness/Pool

New Membership Type

Dual MembershipPool (including Aquacise)Gym (including Group Fitness)

Payment Type

-- Please Select --Direct DebitUpfront

Payment Frequency (Direct Debit) *

• Weekly
• Fortnightly
• Four Weekly
• Not Applicable

Discounts Available for Membership Commitment 6 months+

Length of membership requested

Flexible (No Discount)6 Months7 Months8 Months9 Months10 Months11 Months12 Months +