Fire & Ice: Membership Variation Form

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Member Details

Please provide your Full Name as stated on your membership.
Residential Address:*
Birth Date:*

Membership Add On:

To finalise the addition of your selected add-on, kindly check the box below to confirm your desire to include it in your existing weekly membership fee.
New membership Type*

Acknowlegement of Upgrade.

By signing this form, I hereby acknowledge my agreement to all the terms and conditions, as well as the assumed risk and liability outlined above.