Purchase a gym membership To purchase a membership to the Healthy Living Centre gym, please use the form below. Name* First Last Email* Phone*Commencement date of membership* Date Format: DD slash MM slash YYYY Gym membership type*Adult membership (16yr+)Senior membership (65+ with valid seniors card)Youth membership (14-15yr)Gym membership length*3 month membership ($195 exc GST)6 month membership ($390 exc GST)12 month membership ($780 exc GST)Gym membership length*3 month membership ($180 exc GST)6 month membership ($360.75 exc GST)12 month membership ($721.50 exc GST)Gym membership length*3 month membership ($112.50 exc GST)6 month membership ($225 exc GST)12 month membership ($450 exc GST)GST $ 0.00 Total $ 0.00 Total includes 10% GSTPreferred payment option*Debit/Credit CardDirect DebitA Spinal Life Healthy Living Centre team member will be in touch to set up payment via direct debit. Debit/Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Consent* I agree to the Terms and Conditions.CAPTCHANameThis field is for validation purposes and should be left unchanged.