Primary Phone definition

Primary Phone. Primary Phone: Primary Phone:
Primary Phone. Alt Phone: Email: I/We DO DO NOT require gym equipment training Emergency Contact Phone # Please list any special needs or concerns you’d like us to know: Gym and Studio Membership Amount 1 Month 3 Months (10% disc.) 12 Months (20% disc.) Adult $35 $95 $336 Family (3 or more) $75 $203 $720 Senior & Young Adult $25 $68 $240 Daily $5 (for Adult 18 and older) Other Fees Total Amount Family Membership Names (2 or more listed here) Date of Birth (age 14 or older) Key FOB # Signature if 18 or older. (Ages 14 to 17 must be accompanied by adult) X X X X I/we hereby release Xxxxxx Xxxx Community Center Inc, their board of directors, agents, heirs, and assigns from any and all claims from injury or damage that may be sustained by me/us from use of the premises or equipment of PHCFC. Further, I/we hereby represent that we are in good health and capable of participating in a fitness program and that I/we will do nothing that will cause injury to myself/ourselves or others while engaging in such programs at the PHCFC. Further, I/we hereby release PHCC from any and all loss of or damage to personal electronic devices, equipment, clothing, or other personal belongings. The undersigned hereby indicates their desire to become a member of the Xxxxxx Xxxx Community Fitness Center, pursuant to the terms and conditions of this membership agreement. This membership is NON-TRANSFERABLE. Member/Parent/Guardian Date PHCFC Representative Date
Primary Phone. Time of Rental: End Time:

Examples of Primary Phone in a sentence

  • Social Security Number Birth Date (MM-DD-YYYY) Gender (M or F) US Citizen ( Y or N) US Veteran or Spouse of Veteran (Y or N) Last Name First Name MI Previous Last Name (Maiden)(If your name has changed since your last application, proof of name change must be attached e.g. photocopy of marriage certificate, etc.)Street Address City State Zip Code Primary Phone Secondary Phone E-Mail If you answer yes to any question below, SUBMIT a narrative with your application.

  • Mailing Address: (If PO Box, provide physical address below)*City: *State/Province: *Country: *Zip Code: *Primary Phone: Type:  Cell  Home  Business Other Phone: Type:  Cell  Home  Business†Email Address: † Your email address will be used to communicate information about your account.

  • Name: Title: DOB: Mailing Address: City/State/Zip Primary Phone No: Alt.

  • Company/Organization/Municipality Business Number (BN) if applicable First Name Middle Initial Last Name Primary Phone Number Ext.

  • No. TRS Membership/Retirement NumberCity State Zip Code Primary Phone Number (Check one:( )Email Address Alternate Phone Number (Check one:( )Home HomeWork WorkMobile) Mobile) Check here if you entered new contact information above.

  • Phone No: Email address: Fingerprinted: Yes No Name: Title: DOB: Mailing Address: City/State/Zip Primary Phone No: Alt.

  • Primary Phone #: Secondary Phone #: Leave message with contact number only.

  • Prefix: First: MI: Last: Suffix: Title: Primary Phone: Cell Phone: Fax Number: E-mail Address: Mailing Address: City: State: Zip Code: Check here if the physical address is the same as the mailing address.

  • Mr./Mrs./Ms. Last Name First Name Middle Initial Jr./Sr./II/III Former/Alternate Name Date of Birth (mm/dd/yyyyy) Social Security No. Primary Phone No. Ext.

  • Prefix: First: MI: Last: Suffix: Title: Primary Phone: Cell Phone: Fax Number: E-Mail Address: Mailing Address: City: State: Zip code: Check here if the physical address is the same as the mailing address, and then continue to Section 4.


More Definitions of Primary Phone

Primary Phone. Alternate Phone:
Primary Phone. Primary Phone: Primary Phone: Secondary Phone: Secondary Phone: Secondary Phone: Address: Address: City, State, Zip Code: City, State, Zip Code: Fax:
Primary Phone. Alternate Phone: Date of Event: Time of Event: Notes Cardholder Name: Cardholder Billing Address: Last 4 digits of Credit Card: Credit Card Expiration Date: You will enter your full credit card number into the secure payment form via the link available after submitting this Definitions for the purpose of this Rental Agreement & Credit Card Authorization Form

Related to Primary Phone

  • Help Desk means the contact point established by Project Co in respect of the Help Desk Services for the notification of Demand Requisitions, the occurrence of Events and other matters arising in relation to the provision of Services;

  • Electric provider means any of the following:

  • Rechargeable Electrical Energy Storage System (REESS) means the rechargeable energy storage system that provides electric energy for electrical propulsion.

  • NOC means National Olympic Committee.

  • Digital Health refers to the use of digital and virtual tools, products, technologies, data, and services that enable improved patient experience and population health outcomes, care quality, access, integration, coordination, and system sustainability when they are leveraged by patients, providers and integrated care teams;

  • DSL refers to a set of service-enhancing copper technologies that are designed to provide digital communications services over copper Loops either in addition to or instead of normal analog voice service, sometimes referred to herein as xDSL, including, but not limited to, the following:

  • Retail Service and Maintenance Sector Means the service and maintenance of retail facilities which includes financial institutions, retail businesses, schools and hospitals but does not include commercial premises as defined.

  • Virginia Stormwater Management Program or “VSMP” means a program approved by the State Board after September 13, 2011, that has been established by a locality to manage the quality and quantity of runoff resulting from land-disturbing activities and shall include such items as local ordinances, rules, permit requirements, annual standards and specifications, policies and guidelines, technical materials, and requirements for plan review, inspection, enforcement, where authorized in this article, and evaluation consistent with the requirements of this article and associated regulations.

  • Primary enclosure means any structure used to immediately restrict an animal or animals to a limited amount of space, such as a room, pen, cage, compartment, or hutch.

  • School health services means health services provided by a qualified school nurse or other qualified person that are designed to enable a child with a disability to receive FAPE as described in the child’s IEP.

  • Passenger Services means, those railway passenger services provided by or on behalf of the Beneficiary pursuant to the permission to use track granted in accordance with the Track Access Agreement;

  • Primary Care Provider (PCP) means a health care professional who is contracted with BCBSAZ as a PCP and generally specializes in or focuses on the following practice areas: internal medicine, family practice, general practice, pediatrics or any other classification of provider approved as a PCP by BCBSAZ. Your benefit plan does not require you to have a PCP or to have a PCP authorize specialist referrals.

  • Basic municipal services means a municipal service necessary to ensure an acceptable and reasonable quality of life, which service – if not provided – would endanger public health or safety or the environment.

  • Municipal Separate Storm Sewer System Management Program means a management program covering the duration of a state permit for a municipal separate storm sewer system that includes a comprehensive planning process that involves public participation and intergovernmental coordination, to reduce the discharge of pollutants to the maximum extent practicable, to protect water quality, and to satisfy the appropriate water quality requirements of the CWA and regulations, and this article and its attendant regulations, using management practices, control techniques, and system, design, and engineering methods, and such other provisions that are appropriate.

  • Switchover means transfer of units of one scheme of UTI MF to another scheme of UTI MF wherever permissible.

  • Electric bicycle means a “class 1 electric bicycle”, a “class 2 electric bicycle”, or a “class 3 electric bicycle” as defined in this section. (ORC 4511.01(RRR))

  • PSTN means the public switched telephone network.

  • Police Service ’ means the South African Police Service established in terms of section 5(1) of the South African Police Service Act;

  • Basic Municipal Service means a municipal service that is necessary to ensure an acceptable and reasonable quality of life and which, if not provided, would endanger public health or safety or the environment;

  • Customer Service means Company’s customer service telephone service department or representatives.

  • Ambulance service means an entity, its personnel and equipment including, but not limited to, automobiles, airplanes, boats or helicopters, which are licensed to provide Emergency medical and Ambulance services in the state in which the services are rendered.

  • Non-Administrator Ambulatory Surgical Facility means an Ambulatory Surgical Facility which does not meet the definition of an Administrator Ambulatory Surgical Facility.

  • Virginia Stormwater Management Program authority or "VSMP authority" means an authority approved by the State Board after September 13, 2011, to operate a Virginia Stormwater Management Program.

  • Water Service Connection means the pipes and fixtures used for the purpose of supplying any premises in the Municipality with water from the Corporation’s water works that is located between the Corporation’s watermain in the street and the street property line abutting the premises so supplied.

  • Cloud Service means any distinct, subscription-based, hosted, supported and operated on-demand solution provided by SAP under an Order Form.

  • Primary care giver" means a person who assumes the principal role of providing care and attention to a child.