Trial Membership - Fitness Center & Health Club

Trial RAC Membership

Get a free guest pass to RAC using one of the two following procedures:

Please fill out the following information and a membership advisor will contact you for a free pass. Must be at least 21 years old. Must be a local resident.

Call the club (508)823-5440 and request a pass. Must be at least 21 years old. Must be a local resident.

* Required Information

* E-mail address:

* Your full name?

* Telephone:

* Address:

* City & Zip:

Age:

Spouse Name:

Spouse Age:

Employer:

Health Insurance Plan:

Any comments - How did you hear about us:

Are you a Full-time student?
Yes	No

Will you need childsitting?
Yes	No

Enter Security Code Here :