Transcription of ONE Liberty Place
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ONE Liberty Place
ONE Liberty Place 1650 Market Street Philadelphia, PA 19103 ONE Liberty Place FITNESS CENTER APPLICATION AND AGREEMENT GENERAL INFORMATION Name of User _____ Gender M F Name of Employer _____ Suite Number _____ HOME PHONE _____ CELL PHONE_____ EMAIL _____ HOME ADDRESS _____ _____ _____ PRIMARY PHYSICIAN _____ PHONE _____ EMERGNCY CONTACT _____RELATIONSHIP_____ PHONE_____ FITNESS CENTER FEE The current Fitness Center fee is $ per month.
Access: Users must use his or her Fitness Center access card each time he or she enters the Fitness Center facility. A fee of $10.00 will be assessed for replacement of any Fitness Center access card.
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