Enrollment Form: B-Fit Sign Up Form

Member Details

First Name*

Last Name*

Gender

Phone Number*

Email*

Date of Birth*

Address

Street Address*

City*

ZIP Code*

Country*

State*

Billing Address

Same as home address

Street Address*

City*

ZIP Code*

Country*

State*

Select Membership

Memberships Sorted Alphabetically

COUPLES MEMBERSHIP

Group Plan

ongoing

Unlimited

$59.00 / Month

DESCRIPTION: Membership for 2 people with a 12 month commitment

DAY PASS

1 day

Unlimited

$5.00 One-time

DESCRIPTION: 24-hour day pass

FAMILY MEMBERSHIP

Group Plan

ongoing

Unlimited

$79.00 / Month

DESCRIPTION: Membership for up to 4 people with a 12-month commitment

MONTH TO MONTH

1 month

Unlimited

$35.00 One-time

DESCRIPTION: Membership for 1 month at a time, does not automatically renew

SINGLE MEMBERSHIP

ongoing

Unlimited

$35.00 / Month

DESCRIPTION: Membership for 1 person with a 12 month commitment

Membership Settings

Payment Method

Account Password

8–128 characters
At least one uppercase letter (A–Z)
At least one lowercase letter (a–z)
At least one number (0–9)
At least one special character (e.g. ! @ # $ %)

Password

too short

Confirm Password

Credit Card

All transactions are secure and encrypted

Card Number

Expiry Month

Expiry Year

CVV / CVC

Zip Code