JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
PURE Gym Penticton
Brand New GYM MEMBERS, try us for 30 days for $30, no obligation.
(No contracts, initiation fees EVER.)
We hope you enjoy your time with us, please let us know if you have any questions!
See you soon.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Phone Number
*
Your answer
Billing Address (please include street, unit number, city, province/state, and postal code/zip)
*
Your answer
Please select which promotion you would like to purchase?
$30 for 30 days
Clear selection
Credit Card Number
Your answer
Expiration Date
Your answer
CVV Security Code (3 digit code on back of card)
Your answer
Authorization:
I understand that by submitting this form, I authorize PURE Gym & Juicery (1081310 BC LTd.) to charge my credit card with the above information.
Any additional comments or concerns? Please let us know.
We thank you for supporting our business!
Click submit and we look forward to welcoming you to PURE very soon!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pure Gym & Juicery.
Report Abuse
Forms
