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Client Detail form
Name:
Address:
Postal Code:
Tel:
Age:
How many times are you looking to work out?
1 - 2
3 - 4
5 - 6
What time of day are you likely to work out?
Day
Evening
Weekends
What are you looking to achieve?
Tone up
Lose weight
Build-up Muscle
Medical Reasons
Are you a member of a Health & fitness Club at present?
Yes
No
Do you use any Trust sites at the moment? (tick all that apply)
Wavelengths
Pendle Leisure Centre
West Craven Sports Centre
Seedhill Athletics & Fitness Centre
Marsden Park Golf Course
Where did you hear of Activo membership?
BROWSE
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Pendle Leisure Trust . Bank House . 61 Albert Rd . Colne . Lancashire . BB8 0BP    E:
info@pendleleisuretrust.co.uk