ContractFitness Center Membership Agreement • March 30th, 2021
Contract Type FiledMarch 30th, 2021SIUE Student Fitness CenterMembership Agreement(PLEASE PRINT LEGIBLY) MEMBER INFORMATION New membership* Renewal Name (Last, first, middle initial) Date of birth Street address, City, ST, ZIP code Member # (800# or 777#) Primary phone number | Other phone number Email address (required) Today’s date (staff use) Expiration date (staff use) Parking Tag # (staff use)