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Get Fl Nch Wellness & Fitness Centers Hold Form 2020-2024

110 P: (239) 624-6870 F: (239) 624-6871 By signing this form, the member understands and agrees to the hold policy as outlined below. PLEASE RETAIN YOUR COPY IT WILL BE REQUIRED IN THE EVENT OF ANY DISCREPANCY. The copy must be dated and signed by a Wellness Staff member to be valid. Please print name of each individual account going on hold: Membership Type Scan Tag # Date of Hold 1. Monthly / Annual 2. Monthly / Annual Are you renting a locker? Locker #: EMAIL Is your membership payrol.

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