We process membership request as quickly as possible, often within hours or overnight. We will call or email you when your entry fobs are available for pick up. For clients wishing to bill insurance, please allow up to 5 days for approval and verification.

Auto Pay Billing Cycle is the 5th or 20th depending on the closest date to your sign up. No contracts.

Membership Request

First name

Last name

Phone

Birthday

Month

Day

Year

Address

City Zip

Membership Type

Individual (First Month $35 + one time registration fee $25)$60

Family (First month $50 + one time registration fee $25)$75

Paid in Full, Individual 7months (1month Free)+ one time registration fee $25$235

Paid in Full, Family 7months (1month Free)+ one time registration fee $25$325

Paid in Full, Individual 15 months (3month Free)+ one time registration fee $25$445

Paid in Full, Family15 months (3month Free)+ one time registration fee $25$625

Additional fob $10

Reactivate Individual Account (You must still have you fob)$35

Reactivate Family Account (You must still have your fobs)$50

Approved Insurance Program (One Time $10 fob fee)$10

Insurance ID number if applicable

If family, please list secondary adult and any children over 15. (Name, DOB, Email, Phone)

Liability Release

Photo of Primary Account Holder

Photo of Secondary Account Holder if Applicable

MONTHLY ACCOUNTS ONLY: Card Number for month 2 and on, you may stop by the office or call to provide this information later if you prefer. If you do not add a card for monthly accounts, it will expire in one month.

Exp Date

V-Code

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