1560 Parkway, Greenwood, SC 29646 ~ 864-227-9955

CORPORATE MEMBERSHIP AGREEMENT

2015 Piedmont Technical College
AGREEMENT MUST BE RECEIVED BY ANYTIME FITNESS BEFORE MEMBER CAN START
Date:  New  Renewal Key Fob #
Name: DOB:
Mailing Address: City: ST: Zip:
E-mail: SS#: Home #:

Cell# Other # Gender: Marital Status:

 Male  Female  Single  Married
Occupation: Phone:

Emergency Contact: Relationship: Phone#:

Additional Family Members

Name # 2 DOB: Male Employer: Key Fob#
Female
Name # 3 DOB: Male Employer: Key Fob#
Female
Name # 4 DOB: Male Employer: Key Fob#
Female

Type of Membership
Membership Options* Weekly Weekly w/ Bi-weekly Bi-weekly Monthly Monthly
Training w/training w/training
 Individual $8.77 $10.16 $17.54 $20.31 $38.00 $43.99
 Couple $12.92 See club $25.85 See club $56.00 See club
 Family (includes children 16- $14.08 See club $28.15 See club $61.00 See club
21)**
 Senior (60 yrs and over) $7.38 $8.77 $14.77 $17.54 $32.00 $37.99
** All new members are required to purchase onsite a $35.00 security access card per person age 18+. This card allows 24 hour
access to local and national Anytime Fitness locations. This is a one -time fee. Returning members who still have their card pay the
same $35, as a re-activation cost
** Family membership can include 1 (one) child age 16 – 21. Each child at 18+ is required to purchase a security access card (one time
fee) at $35.00 each for child age 18 – 21, cards are not provided for children under 18. Additional children can be added at an
additional charge per child.
** Club Enhancement Fee – All corporate members must pay the annual club enhancement fee as listed on the current Facilities and
Equipment Policies Sheet

I hereby authorize my employer to deduct $____________  week  every 2 weeks  monthly from my payroll check for my
ANYTIME FITNESS membership beginning on ____________________.
I understand Anytime Fitness may at any time refuse usage of facility and/or cancel membership without a refund to any member
who abuses facility, equipment, violates any security policies or whose behavior is not in accordance with acceptable standards of
conduct.
I understand my security card allows 24 hour access for members only. I am not allowed to bring guest into the facility during non-
staffed hours. I will be charged a guest fee if I violate this policy and Anytime Fitness can cancel my membership without a refund.

Employee Signature_______________________________ Company Representative______________________________________

CONTRACT CONDITIONS ON REVERSE SIDE. PLEASE SIGN FRONT AND BACK

Revised 11/2014
Office use only: ______CEF______CC ______Card _____ ABC______Batch________CorBatch _______AH ______FB ______Other ______________________
 ANYTIME FITNESS CONRACT CONDITIONS
1. Customers Right to Cancel – According to SC Law, you may cancel this Membership Agreement and any related Retail Installment Sale Contract by sending
notice of your wish to cancel to the seller before midnight of the third (3rd) business day after you sign the Membership Agreement. ‘Business day’ means
Monday through Friday excluding state holidays and federal holidays. This notice must be sent certified mail. Procedures thereafter include within thirty days
of receipt of this notice, the seller shall return any payments made and any note or other evidence of indebtedness. If you use the seller’s facilities or services,
the seller may charge you a reasonable fee based on days of actual use.
(A) In addition, you or your estate may also cancel this Membership Agreement and any related Retail Installment Contract at any time by written
notice to the seller at the office address if the following circumstances occur. (1) the customer’s death; (2) substantial physical disability certified by
a physician, which makes it permanently impossible for the customer to use the seller’s services; (3) the customer’s permanent relocation of over
fifty (50) miles distance from an outlet operated by the seller, if the seller is unable to arrange for the customer’s use of another facility with
equivalent major facilities and services. The seller may require presentation of information to substantiate that one of these circumstances has
occurred. If the Membership Agreement and any Retail Installment Sale Contract are cancelled because of disability, death or permanent change of
residence, the seller shall return any note or other evidence of indebtedness and unearned prepayments as follows: for each month that the
Membership Agreement was in effect, the seller is entitled to the rate a month or a treatment which it would have been charged if the Membership
Agreement has initially been one for the number of months or the number of treatments for which the Membership Agreement was actually in effect.
(B) The consumer has a right to cancel the membership prior to the end of the initial contract term of 12, 18 or 24 months with a written notice sent via
certified mail, but may incur charges up to 30% for the remaining balance if there are no mitigating circumstances.
(C) No refund shall be given to members that have paid in full for their memberships for any reason past the three (3) day right of cancellation.
The right of cancellation shall affect only the financial obligations under the Membership Agreement and any Retail Installment Sale Contract and customer’s
right to use seller’s physical fitness services.(RELEASEES), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to
person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
2. Security Policy- I understand the premises are under video monitored 24 hour surveillance at all times and recorded digitally. I acknowledge that information
obtained can be used to confirm violations and additional charges can be charged for confirmed violations.
3. Promise to Pay: You promise to pay the total of payments plus your total down payment according to your installment payment schedule outlined.
Membership payments are drafted and all other service payments shall be made to us at the address we give you unless we notify you in writing to make your
payments to a different address.
4. Default: You are in default if we do not receive an installment payment from you within ten (10) days after it is due.
5. Acceleration of Payments: If you have been in default for more than ten (10) days for failure to make a required payment, we will give you written notice of
such fact and your right to cure the default mailed to your last known address. If you fail to cure the default within 20 days after such notice is given, we can
demand immediate payment of the entire amount you owe. This includes all remaining monthly payments you must make minus the part of the Finance Charge
we have not earned, computed by using the Rule of 78. If you default a second time in making payments, we may exercise our rights without sending another
notice. Buyer certifies that the information in the application portion above is true and complete and authorizes Seller to verify any information pertaining to
Buyer’s credit and financial responsibility that it deems necessary.
6. Late Charge: You will be charged fee’s assessed to AF from the bank plus up to an additional 5% of the amount in default; whichever is less, if a payment is
not made within 10 days after it is due.
7. Guest Fee: Guest are allowed to take advantage of the Anytime Fitness facility only during staffed hours. Members may not bring a guest to the facility
during non-staffed hours. Any member which violates this policy will be automatically charged a Guest Fee: starting at $50.00 and informed of their
violation. Members who continue to violate this policy run the risk of their membership being revoked and being responsible for damages and/or additional
cost incurred due to unauthorized guest. If membership is revoked due to non-compliance of this policy, no refund will be granted.
8. Health Screening: Anytime Fitness reserves the right to decline/postpone membership to anyone having medical conditions requiring medical supervision.
9. Return Item Charges – A minimum fee of $35 + additional bank fee’s if applicable will be assessed to any member for a returned check or credit card draft as
a result of insufficient funds.
10. Release from Liability-In consideration of being allowed to participate in the activities and programs of Anytime Fitness which includes Total Body Fitness,
LLC and to use its facilities, equipment and machinery in addition to the payment of any fee or charge, I do hereby waive, release and forever discharge the
Total Body Fitness, LLC, Anytime Fitness and its officers, agents, employees, representatives, executors and all others from any and all responsibilities or
liability from injuries or damages resulting from my participation in any activities, my use of equipment in the above mentioned activities and loss or theft of
personal belongings. This applies to both inside the facility as well as the property site. Any items left in the club for a period longer than 30 days will be
considered abandoned and thus disposed of. I do also hereby release all of those mentioned and any others acting upon their behalf from any responsibility or
liability for any injury or damage to myself, including those caused by the negligent act or omission of any of those mentioned or others acting on their behalf
or in any way arising out of or connected with my participation in any activities of Anytime Fitness or the use of any equipment in the center. I understand and
am aware that strength, flexibility and aerobic exercise can be potentially hazardous. I am voluntarily participating in these activities and using equipment and
machinery with the knowledge of dangers involved. I declare myself to be physically sound and suffering no condition, impairment, disease, infirmity or other
illness that would prevent my participation or use of equipment and accept full responsibility for my actions.
11. Amending the Rule – I understand Anytime Fitness reserves the right to amend or add or delete to these conditions and to adopt new conditions as it may deem
necessary for proper management of the center and business.
12. Notice to the Buyer
Your signature affirms the following: I HAVE READ THIS RELEASE OF LIABILITYAND ASSUMPTION OF RISK AGREEMENT, FULLY
UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELYAND
VOLUNTARILY WITHOUT ANY INDUCEMENT
(1) Do not sign this before you read it or if it contains any blank spaces. (2) You are entitled to an exact copy of the paper you sign.
(3) You have the right to pay in advance the full amount due and under certain conditions to obtain a partial refund of the time price differential. Buyer
acknowledges reading and receiving a completed copy of this contract with disclosures made in compliance with federal and state laws.

Employee 1 _________________________________ Date_________ Buyer 2 ________________________________ Date________________________

SELLER BY EXECUTION HEREOF, HEREBY ASSIGNS THIS AGREEMENT FOR VALUE RECEIVED TO (______________) AS IF THIS DATE
HEREOF IN ACCORDANCE WITH THE TERMS OF ANYAND ALL AGREEMENETS BETWEEN THE SELLER AND (_______________) THIS
AGREEMENT IS ASSIGNED WITH FULL RECOURSE AGAINST THE ASSIGNER (SELLER) IN THE EVENT OF ANY DEFAULT.

Seller Angela Christopher Date _Same as above Witness ________________________ Date ________________________
NOTICE: ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR
COULD ASSERT AGAINST THE SELLER OF GOODS OR SERVICES OBTAINED PURSUANT HERETO OR WITH TJE PROCEEDS THEREOF.
URSUANT HERETO OR WITH TJE PROCEEDS THEREOF.
Revised 11/2014