become a member! - BIG IRON GYM

Upon form completion, we will contact you regarding payment info and App Access for the front door. Thanks

Single Membership: $45/month +tax
Spousal Membership: $65/month +tax
Family Membership:$80/month +tax

*Sign-Ups mid month will be pro-rated
*All membership sign ups require a one time fee of $20 for GeoKey Access
*All membership cancellations require 30 day notice*

Membership Info

Full Name*

Address, City, State, ZIP*

Phone Number*

E-mail*

DOB*

DOB

MEMBERSHIP TYPE

SINGLE
COUPLES
FAMILY

Check box if MILITARY

ADDED FAMILY MEMBERS (for couples & family memberships) NAME, PHONE, EMAIL

Renewal/Cancellation Policy: At the end of your contracted period of time, your agreement will continue to be billed each month. You may cancel your contract at any time with 30 day written notice. Member understands Shawn Frankl’s Big Iron Gym will not refund member for any incorrect charges past the last 90 day period.1. Rate terms: Notwithstanding any other provisions, you understand and agree that the amount of your monthly dues is based on current sales tax rates and that these rates may increase. Membership fees may be modified from time-to-time by Big Iron Gym. However, no membership fee change will be applicable to Member during the initial term of this Agreement (but will be effective for any renewal periods).

Emergency Contact & Phone*

***IF UNDER 18 YOU MUST SIGN UP IN PERSON AT BIG IRON GYM

WITH PARENT OR GUARDIAN PRESENT***

I hereby declare that the above information provided is true and correct. (Enter Full Name)*

Upon receiving filled out form, we will contact you with sign up cost

Monthly Payment amount:

First Full Payment Date:

Prorate Amount:

$20 Activation fee (one time fee)

Pro-Rate and $20 sign up fee

Cash
Venmo
Card

Automatic Monthly Payments

You are hereby authorizing automatic withdrawal from bank account the 1st of each month. A service fee of $5 will be assessed for any order returned for insufficient funds or any other reason. Should you default on any payment obligation as called for in this agreement, the gym will have the right to declare the entire remaining balance due and payable and you agree to pay allowable interest, and all costs of collection including but not limited to collection agency fees, court costs and attorney fees. A default occurs when any payment due under this agreement is more than (10) days late. Should any payment due become more than (10) days late, you will be charged a late fee. The club’s billing company, Security National Bank of Iowa reserves the right to draft via EFT all amounts owed. Subject to appropriate state and federal law. Member agrees that Big Iron Gym may suspend or terminate membership at any time, in its sole and absolute discretion, for non-payment of Membership Fees or for violation of any of Big Iron Gym’s policies and procedures, and that in so doing, Big Iron Gym assumes no further liability to adhere to the terms of this Agreement. Member understands and agrees to use the gym within the scope of the membership selected, and that Member is obligated to pay Membership Fee and fees regardless of whether Member uses the gym. Member agrees to promptly update Big Iron Gym of any change in Member's contact information (including address, telephone number or email address) or change in banking account information.

Name as it appears on Account*

Bank Name*

Account Holder*

Is this a checking or a savings account?

Checking Acct
Savings Acct

Automatic Bank Draft Notice

I consent to Automatic Withdrawals. (Enter Full Name)*

Waiver and Release Form

I have read and agree to BIG's Waiver and Release Form. (Enter Full Name)*

Today's Date*

Today's Date