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