Jim's Gym - Fitness & Wellbeing Gym
Temporary Membership Form
Name: Sophie Becker
Date of birth: 25. May 2001
UK address: 23 Station Rd., Gloucester GL6 PW3
Please give us a phone number where we can contact you
Phone number: +49 173/123456
Do you qualify for a discount (student/over 55)? Yes, i am a student
Membership required from 1st
of June to 20th
of August (4-week minimum commitment)
At what time of day do you want to train? in the morning
What would you like to achieve?
I want to be fitter.
I want to do a triathlon in the future.
Why did you choose our gym?
It was recommended by my cousins.