Please Note:

When upgrading your membership, a difference in the initiation fee and monthly dues will be charged to your account. If you are downgrading your membership, there is no credit on the initiation fee. When converging a membership, all original membership cards must be returned.

(MM,DD,YY)   Member #: 

First:   M.:   Last: 

Address: 

City:   State: 

Zip: 

Home Phone:(ex.510-xxx-xxxx) 

Work Phone:(ex.510-xxx-xxxx) 

Current Membership Type:
Senior  Family  Corporate  Individual  Couple  

Desired Membership Type:
Senior  Family  Corporate  Individual  Couple  

Issue Additional Card(s) for:
First:   M.:   Last: 

Relationship: 

If Child; age/birdate:(ex. 12yrs 03/05/80) 

First:   M.:   Last: 

Relationship: 

If Child; age/birdate:(ex. 12yrs 03/05/80) 

First:   M.:   Last: 

Relationship: 

If Child; age/birdate:(ex. 12yrs 03/05/80) 

First:   M.:   Last: 

Relationship: 

If Child; age/birdate:(ex. 12yrs 03/05/80) 


  


 • Upgrade Form

 • Individual Membership
 • Couple Membership
 • Family Membership
 • Senior Membership

 • Trial Visit
 • Membership