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First name

Last name

Club id

MEMBER ID OR #BARCODE# (As provided in your email)

Phone number

In accordance with applicable law, please select a club from the list below for the transfer of your Membership. There are no requirements to complete a transfer, whereupon when we close our South End location your Membership will be terminated, and automatic billing will cease. In the event of closure and transfer, the fees you pay will remain the same.

Signature (Your Name)

Club Transfer Opt-In Form

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