Cockburn Presale

Cockburn Pre-sale

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Cockburn

PROMOTION: CBURN2 Sign up to receive the second and third month free!

PAY NOTHING UNTIL WE OPEN!
$9.69 Per Week Membership (Debited Monthly - $42.00 per month)
No Lock in Contracts
No Sign Up Fees
24/7 Access

STEP 1

Your Details

First Name *

Last Name *

Email *

Phone Number *

Missing Phone Number

Date of Birth*

Gender*

Address*

Suburb*

Post Code*

STEP 3

Payment Details

Billing Frequency*
Member Start Date*

First Payment		Next Payment
Regular Payment (Pro-Rata)	$43.30	Regular Payment (01/06/2021)	$43.30
	$43.30		$43.30

Preferred payments method

Note to existing customers: This payment method will replace your existing payment method (if available).
$42.00 Directly Debited Monthly ($9.69 Per Week). $1.30 Charge for Credit Card Payments.
No Charges for BSB and Account Details.

BSB*
Account Number*

Account Holder's Name*

Card Number *

Credit Card Number Invalid

Expiry Date *

Cardholder Name*

CVV *

By signing up, you agree to:

Revo Fitness's Terms & Conditions

Ezypay's Terms & Conditions

Additional $1.30 monthly charge for credit card payments