Print Order Form - Total Fitness Makeover Program

Monthly Payment Plan via Credit/Debit or Checking/ Savings Account:

To register for the Total Fitness Makeover program using a monthly payment options, please print out and complete the form below, then mail to: 

HealthStyle Fitness, INC

8765 Charleston Woods Drive

Mason, OH 45040

 

To register for the Total Fitness Makeover program using a one time payment by check, please click here.

 

Once registration is complete, you will receive an email welcome pack that will include 2 pre-class forms, directions to the studio & information on the first session of your program.

Which program option would you like to register for? 

Quantity

   Program Option   

Cost
   The TFM Program - 3 Months (13 sessions each month) + Fitness Assessment + Nutrition Workshop + Nutrition Software   $299/month -or- $23/session
   

  

   The TFM Program - 6 months (13 sessions each month) + Fitness Assessment + Nutrition Workshop + Nutrition Software

$229/month -or- $17.62/session
 

                    (with the 3 or 6  month, the Fitness Assessment, Nutrition Workshop and Nutrition Software are included at no cost)

  
 

                            

  
 

                                                                                                                           

 

For more information on the TFM program please feel free to give us a call at 513-325-0886, ext 103 or click here to ask a questions by email

THE TOTAL FITNESS MAKEOVER PROGRAM - PAYMENT AUTHORIZATION AGREEMENT

(I/we) do hereby authorize HealthStyle Fitness, INC, hereinafter named the COMPANY, to initiate recurring (debit or credit) entries to (my/our) (Checking Account / Savings Account or Credit or Debit Card) as indicated and named below.

I am a duly authorized check signer on the financial institution account identified below, and authorize all of the above as evidenced by my signature below. 

This authorization is to remain in full force and effect for one (1) calendar year from the date of inception.

Name (s):                                                                                                                                                                                   

Address:                                                                                  City:                                        State:      __ Zip:                   

Signature:                                                                                                  Date:                                                                   

     Total Fitness Make Over Program Four Months - 3 Monthly Installments at $299 Each

     Total Fitness Make Over Program Twelve Months - 6 Monthly Installments at $229 Each

Checking or Savings Information:

Financial Institution Name:                                                                   Branch:                                                                 

City:                                                                          State:                                      Zip:                                                       

Routing Number:                                                                    Acct. Number:                                                                       

 -OR-

Credit or Debit Card Information:

Name on Credit Card:                                                                            CC Type:                                                              

CC#:                                                                                                          EXP Date:                                                            

Security Code*:                                                                       

* Security Code - Visa/MC is a 3 digit number on back of card; AMEX is 4 digit number on front of card.

For Office Use Only....

Payment Start Date:                        Payment Amount:  $                        Number of Monthly Payments: