ONLINE MEMBERSHIP SIGN-UP FORM

You must provide two recent identical colour photographs of yourself. With a maximum file size of 256KB.
Warning: Unacceptable photos will delay the processing of your application.
TIP - If you are completing this form on your phone take a picture before you start. Please select Low Resolution 640x384 in your phone/camera settings. If you are using an Apple iPhone then take your picture with the camera on the same side of the screen (It is a low resolution camera). Your photo must be a clear, unmodified photo of your face. Then complete the form in order from top to bottom.

Please provide your Personal Details

Please select a Membership Option

The Monthly membership billing cycle starts on the 1st day of each month. 
The agreed Monthly payment will be applied to the allocated credit card on the 1st day of every month. 
On the day of the application for Monthly membership the payment for that month will be pro-rated to the end of the month to bring it up to the next month’s payment cycle. 
The Monthly membership is not subject to a minimum term. 
Upon becoming a Monthly Member, access to a key card for entry to the Facility will be issued. 
A key card deposit fee of the same amount as the Monthly fee is required for the issue of the key card. 
When membership is cancelled, the card deposit fee will be returned.
At the end of the Prepaid Membership term, a renewal payment will automatically be processed to the allocated credit card to establish a new term.
The key card fee is a "one off" fee that includes the price of the card, administration and the cost to send via Australia Post. For all memberships a key card fee is required to issue the key card, unless otherwise stated. The Monthly membership billing cycle starts on the 1st day of each month. The agreed Monthly payment will be applied to the allocated credit card on the 1st day of every month. On the day of the application for Monthly membership the payment for that month will be pro-rated to the end of the month to bring it up to the next month’s payment cycle. 

Please select a 247XERCISE Location

Please attach a Photo for your Membership Card

You must provide two recent identical colour photographs of yourself. With a maximum file size of 256KB.
Warning: Unacceptable photos will delay the processing of your application.
You must attach a recent colour photograph of your face with a maximum file size of 2.5MB. On your camera or phone best to select Low Resolution 640x384. Any photo that can be taken automatically by an inbuilt laptop/phone camera or a web camera will be accepted. Your photo must be a clear, unmodified photo of your face. 

Please complete Payment Details

Visa
MasterCard
All payments will be taken by Centrality PTY LTD Reservoir (ACN: 114163585)
Please note that all 247XERCISE payments will be processed by 247Xercise PTY LTD (ACN: 143 422 486), which will be shown on your credit card statement.

Please agree to our Terms and Conditions

TERMS & CONDITIONS: 

Please read 247XERCISE Terms and Conditions by clicking HERE

 

In consideration of making 247XERCISE available to me:
I have no physical medical condition that would put me or others at risk by using the Facility,  
I assume full responsibility for any injuries or damages which may occur to me,
I assume full responsibility for any loss of or damage to my personal property,
I understand that membership cancelation and a penality fee ($50) will apply if I let in any individual(s) or groups into the location.
I agree to use the equipment in the facility without any supervision or instruction at my own risk, 
I recognise and accept that I will be video recorded whilst in the Facility for my own safety,
I will replace and wiped down equipment after I have finished using it,
I will wear comfortable sport clothing and not Jeans, work wear, thongs or other inappropreate attire in the gym,
I recognise and accept that I will have my memberships terminated if I breakPlease read our <Terms and Conditions> by clicking <HERE>
 
In consideration of making 247XERCISE available to me:
I have no physical medical condition that would put me or others at risk by using the Facility,  
I assume full responsibility for any injuries or damages which may occur to me,
I assume full responsibility for any loss of or damage to my personal property,
I understand that membership cancelation and a penality fee ($50) will apply if I let in any individual(s) or groups into the location.
I agree to use the equipment in the facility without any supervision or instruction at my own risk, 
I recognise and accept that I will be video recorded whilst in the Facility for my own safety,
I will replace and wiped down equipment after I have finished using it,
I will wear comfortable sport clothing and not Jeans, work wear, thongs or other inappropreate attire in the gym,
I recognise and accept that I will have my memberships terminated if I break any facility rules. 
 any facility rules. 

In consideration of making 247XERCISE available to me:

-I have no physical or medical condition that would put me or others at risk by using the Facility,  

-I assume full responsibility for any injuries or damages which may occur to me,

-I assume full responsibility for any loss of or damage to my personal property,

-I understand that only I, the agreeing member; can use the facility.

-I understand that I cannot let in any individual(s) or groups into the location.

-I understand that fines of up to $50 will apply if I do not follow any rules.

-I agree to use the equipment in the facility without any supervision or instruction at my own risk, 

-I recognise and accept that I will be video recorded whilst in the Facility for my own safety,

-I will replace and wipe down equipment after I have finished using it,

-I will wear comfortable sports clothing and not Jeans, work wear, thongs or other inappropreate attire in the gym,

-I recognise and accept that I will have my memberships terminated if I break any facility rules. 

 *

Please click on the submit button at the bottom of the screen. Your application will be processed when you submit this form and a receipt and membership card will be sent to your mailing address.