ORCAS ATHLETICS, BRS, Ltd.
P.O. Box 786 Eastsound, WA 98245
Office: 360.376.6361 Fax: 360.376.6365 www.orcasspaandathletics.com
MEMBERSHIP RENEWAL REQUEST

Please select one:

_____I request that my membership be renewed for another term as per my original agreement.

_____I request that my membership be renewed for another term as per my original agreement, with the following changes/updates:*

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Member Signature Date

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Print Name Email Address

PLEASE RETURN THIS SIGNED FORM IMMEDIATELY TO GUARANTEE UNINTERRUPTED ACCESS TO OUR FACILITY. If you have any questions, please contact the gym manager.

*Pending manager/owner approval.
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For Office Use Only

Received By ____________________________________

Date Received ___________________________________

Notes: