Online registration is safe and easy. Go to www.fitnessrxonline.com
Just pick the class option you wish to purchase. Click on buy, and the shopping cart will
appear. This re-directs you to Icommerce gateway, our online merchant account. Click on
Pay for Order Online and proceed to fill in the online order form including your Visa or
Mastercard account details and expiration date. We will be emailed when the transaction
occurs and we will contact you via email regarding your class choice(s).
REGISTRATION INFORMATION
Full name
Class you are registering for (1)
Class you are registering for (2)
Home address
Home phone
Mobile or cellular phone
Home e-mail address
Method of payment – check amount / #
Method of payment VISA OR MASTERCARD
Please list card number and exp date
security code on back of card
All classes 60 min
Registrations can be mailed to
FITNESS RX
28575 WINTERGREEN
FARM HILLS MI 48331
Called in to 248 488 9830
FAX TO 248 488 9828
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