Contact Information
Processing Payment
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First Name
Last Name
Address
City
State / Province
Zip / Postal Code
Country
Phone Number
Emergency Contact
Birthdate
Email
Source
Payment Information
Reference Number
Amount
Currency
Pay with Credit Card
Pay with ACH Check
Stored
Name On Card
Credit Card Type
VISA
MasterCard
American Express
Credit Card Number
Expiration Date
01
02
03
04
05
06
07
08
09
10
11
12
/
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
Bank Name
Routing Number
United States
9 Digits
Canada
Transit
Inst
5 Digits
3 Digits
Account Number
Account Type
Checking
Savings
Other
OR
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Please note that if you add a new Credit Card or Bank (ACH or EFT) payment type, if you have any currently active agreements these will then change to use this new payment type going forward. If you need to have this changed you can do so by contacting the payee directly.
Note:
If you are purchasing a Family Membership and an error occurs while processing your payment, please contact Motion Fitness to confirm that your payment was processed successfully and your new group has been created in the system.