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MEMBERSHIP INQUIRY - BRICK BODIES REISTERSTOWN

Our brand new Reisterstown coed facility is now open. Please submit this request for Membership information, so that we can contact you with the details.

Please fill out all questions.
First Name:
Last Name:
Your Address:
City:
State: MD   DC   PA
Zip Code:
Email Address:
Home Phone (area code first):
Work Phone:
Date of Birth:
Trial Club Location: Reisterstown
Are you currently
a member of Brick Bodies? 		No    Yes

How did you hear about Brick Bodies/Lynne Brick's?
TV   radio   newsletter   member referral   sign   print ad  
other  
Want to join our email List
(for weekly Fit Tips, club updates and
monthly Message from
Good Ole Uncle Vic)? 		No    Yes
If you want to join our email List, please indicate which email you want to receive. Our Lists are:
  • Victor's Fit Tips (weekly)
  • Lynne's Fit Tips (weekly, women's topics)
  • Monthly Messages from Good Ole Uncle Vic
  • Club Updates (for Members Only)
  • BBNews Updates (for non-Members)
Comments/Questions: