Annual membership - Xercise 4 less

Please fill in below to become an annual member with our club. On submitting the form you will be taken to a PayPal page where you can complete the application with a payment to Xercise4Less.

Fields marked with an asterisk (*) are required.

Select the club you wish to join*

Title*

Other title

First name*

Last name*

Date of birth (dd/mm/yyyy)*

Address 1*

Address 2*

Address 3

Address 4

Postcode*

Home phone number*

Mobile phone number

Email address*

How did you hear about us?*

Other

Disclaimer:
Please note that due to the discount placed onto our annual memberships we do not offer cooling off periods or refunds in any circumstances, standard freeze policies apply.