28 Day Backpack ReBoot

Help us help some of the less fortunate this year with a new backpack!!!
Pure Form PFT Lodi is at it again this year with our backpack donation drive!!! Even though it's only July, the kids start school in August now and theres not much worse than the stigma of having an old backpack from last year or no back pack at all!

So we are asking your help and want to give you $20 off our already amazing 28 Day ReBoot!!!

So start your journey with a 28-Day Reboot at our Lodi location. Give yourself 28 days to establish new habits and start seeing the transformation!

Your Reboot includes:

28 Days of Unlimited Training
Personalized coaching
Initial scan with the Fit3D Body Scanner
Membership in the PFT Family
Experience the 28-Day Reboot for only $79. At the end of your Reboot, you'll automatically transition to our 12-month membership package unless you cancel your account in writing at least 10 days before renewal date. The 12-month membership is $120 each month, billed monthly on renewal date.

I hereby authorize Pure Form PFT to initiate debit entries at my bank or financial institution and/or charge my credit card as indicated in the terms of my agreement. Memberships are NON-Refundable.

Note of Auto Renewal: I understand that ALL trials and / or challenges auto-renew at the end of their time for a 12-month contract at $120/mo unless a notice of Written cancellation is submitted within 10 days of the trial ending. I also understand that for "challenge", "trial", or ongoing membership, unless I submit a notice of WRITTEN cancellation within 10 DAYS of the last scheduled payment, and or end of "trial" or "challenge", this agreement will automatically renew following the terms of the chosen agreement. I understand that, except as allowed by this agreement or applicable state law, this agreement is non-cancelable during the term, but that, if cancellation or suspension is requested in writing prior to the end of the initial term, 50% of the remaining agreement balance will be charged to the buyer as a "cancellation fee", or subscription may be placed "on hold" for up to two months with a charge of $15/mo. Agreement term will be extended by the duration of the on-hold period.

$79

This package includes the membership plan Lodi PFT 12 month agreement. It has a rate of $120.00 billed monthly. Your initial fee will be $48.99 billed on 08/19/2019. You will continue to be billed $120.00 every month on the 1st until your plan is cancelled or the plan ends..

Your Information


Enter exactly 4 numbers, for future kiosk checkouts
Pure Form PFT Lodi Liability Waiver (5064)
Express Assumption of Risk
Members acknowledge that the personal training/fitness assessment hereunder includes participation in strenuous physical activities, including but not limited to, aerobic movement, weight training, stationary bicycling, various aerobic conditioning machines and various nutritional programs offered by Pure Form PFT. Member agrees to assume all risk and responsibility involved with participation in the physical activities. Member affirms that he/she is in good physical condition and does not suffer from any disability that would prevent or limit participation in physical activities. Member acknowledges that participation will be physically and mentally challenging, and member agrees that it is the responsibility of the member to seek competent medical or other professional advice, regarding any concerns involved with the ability of the member to take part in Pure Form PFT activities. Member agrees to assume all risks and responsibility for not exceeding his/her physical limits. Member hereby holds harmless Pure Form PFT, PFT Corp, Pure Form Fitness Corp and any of its employees or contractors.

Use of picture(s)/Film/Likeness
I agree to allow PFT Corp / Pure Form Fitness Corp or any of its affiliates or employees to use pictures, film, likeness of me for any promotional or advertising purposes. If I decide to not allow usage of previous mentioned media I must submit a written request to  PFT Corp / Pure Form Fitness.

Please answer the following questions

Contract
I hereby authorize Pure Form PFT/PFT Corp to initiate debit entries at my bank or financial institution and/or charge my credit card $120/month as indicated in the terms of my agreement. Memberships are NON-Refundable.
Note of Auto Renewal: I  understand that for "challenge", "trial", or ongoing membership, unless I submit a notice of WRITTEN cancellation within 10 DAYS of the last scheduled payment, and or end of "trial" or "challenge", this agreement will automatically renew following the terms of the chosen agreement. I understand that, except as allowed by this agreement or applicable state law, this agreement is non-cancelable during the term, but that, if cancellation or suspension is requested in writing prior to the end of the initial term, 50% of the remaining agreement balance will be charged to the buyer as a "cancellation fee", or subscription may be placed "on hold" for up to two months with a charge of $15/mo. Agreement term will be extended by the duration of the on-hold period.