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UNYBP Member Registration
NOTE: All information submitted through this website shall remain private and will be used only within our organization. Your privacy is guaranteed. Click here to view our Privacy Policy.
  
User Name:
Password:
Confirm Password:
Email Address:
Confirm Email Address:
  
First Name:
Last Name:
Mailing Address 1 (street address):
Mailing Address 2 (apt #, etc):
City:
State/Province:
Zip Code/Postal Code:
Country:
Phone Number:( )
Birth Date:
Gender: Female Male
  
Physical Condition 
Do you have any medical conditions that affect your ability to exercise? Yes No
Has your doctor restricted your physical activity in any way? Yes No
Are you pregnant or breastfeeding? Yes No
  
Membership Fees 
  Membership Fees.General membership dues are billed monthly. Your credit card will be charged $16 (4 weeks x $4) at the time of registration, and at the beginning of each subsequent month. There are no monthly contracts to sign and membership may be cancelled at any time by simply clicking on the Help link and selecting the membership cancellation department. It's that easy.
  Please Note. There is a 24 hour time frame to cancel membership for a full refund, no questions asked.
 
  I agree to the terms in the Service Agreement.