Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

GYMBEEM FITNESS CLUB

JL. SRIWIJAYA NO. 6 BANJAR MEKAR SARI UNGASAN


085858478485 / 085792932929

FORM REGISTRATION MEMBER


2021/_______________________________________________

MEMBER ID : REG ________________________________________________


*(STAF)

NAME : ____________________________________________________

NATIONALITY : ____________________________________________________

NO. ID : ____________________________________________________
*(KTP/KITAP/KITAS)

PROFESSION : ____________________________________________________

SEX : MALE / FEMALE

ADDRESS : ____________________________________________________

NO. TELP : ____________________________________________________

UNGASAN, 2021,______,_______

(_______________________)

WWW.GYMBEEM.COM gym beem gymbeem

____________________________________________________________________________________________________________

GYMBEEM FITNESS CLUB


JL. SRIWIJAYA NO. 6 BANJAR MEKAR SARI UNGASAN
085858478485 / 085792932929

FORM REGISTRATION MEMBER


2021/_______________________________________________

MEMBER ID : REG ________________________________________________


*(STAF)

NAME : ____________________________________________________

NATIONALITY : ____________________________________________________

NO. ID : ____________________________________________________
*(KTP/KITAP/KITAS)

PROFESSION : ____________________________________________________

SEX : MALE / FEMALE

ADDRESS : ____________________________________________________

NO. TELP : ____________________________________________________

UNGASAN, 2021,______,_______

(_______________________)

WWW.GYMBEEM.COM gym beem gymbeem

You might also like