Membership Checkout

A Payment Gateway must be set up before any payments will be processed.

Membership Information

You have selected the Zumba 10 Sessions (FORGING ELITE FITNESS AND WELLNESS) membership level.

Purchase your 10-Pack Today (Punch Card)

The price for membership is $125.00 now.

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

Already have an account? Log in here

Contact Number

Gender

Male

Female

Employer/Company

Date Of Birth

First Name

Last Name

Address 1

Address 2

City

State

Postal Code

Country

Phone

Card Number

Expiration Date

Security Code (CVC)

A Payment Gateway must be set up before any payments will be processed.

Processing...