Rec Plex Membership Form

 Rec Plex Membership Cost    
 Membership Type Monthly 3 Month
15% discount
 6 Month
20% discount
 12 Month
25% discount
 Single $15.00 $38.25 $72.00 $134.00
 Family $20.00 $51.00 $96.00 $180.00
 Family +1 $30.00 $75.50 $144.00 $270.00
 Senior $10.00 $25.50 $48.00 $90.00
 Senior Couple $15.00 $38.25 $72.00 $134.00


* indicates required fields 
  *Name:
  *Address:
  *Phone Number:
  *Email:
  *Membership Type:  Single
 Family
 Family +1
 Senior
 Senior Couple
  *Membership Term:  Monthly
 3 Month
 6 Month
 12 Month
  Additional Comments:

After filling the details click on the SUBMIT button.
 

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