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Membership Request Form
*Type of Membership: Individual   Couple  
Family   Golden
*First Name:
*Last Name:
  Address:
  City:
  State:
  Zip Code:
  Home Phone:
*Email:
*Have you visited the
MVP Athletic Club before? 		Yes No
*How did you hear about the
MVP Athletic Club?
*Do you currently belong to a health club? Yes No
*Are you interested in a corporate membership? Yes No
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