LA Fitness Membership Request Form

Step

Information

Please complete and submit this form to request a discounted LA Fitness Membership. Your voucher number(s) and instructions on how to complete your enrollment will be emailed to you, usually in about one business day. To review membership levels, see below or visit the Alumni Benefits page at: www.westernu.edu/alumni/alumnibenefits/. If you have any questions, please contact the Alumni Office at alumni@westernu.edu or (909) 469-ALUM.

Membership Details:

Save on annual memberships at L.A. Fitness clubs located throughout the United States with these special WesternU rates:

Single Club Membership include access to any one club in the United States except Signature clubs and those located in the counties of Suffolk, Nassau, Westchester, Richmond, and Bronx in the state of New York: $249/year for alumni. This rate is not offered for family members.

Premier Single State Membership includes access to all clubs in California, except Signature clubs: $299/year for alumni. This rate is not offered for family members.

Premier Multi State Membership includes access to all clubs except Signature clubs and those located in the counties of Suffolk, Nassau, Westchester, Richmond and Bronx in the state of New York: $329/year for alumni. Each family member can be added on for $29.99 per month and a $25 initiation fee.

To find a club near you, or determine which clubs are Signature clubs, visit the L.A. Fitness “Find a Club” web page.

Personal Information

First Name*

Last Name*

Name at Graduation (if different)

Degree*

Class Year*

Preferred Email*

Preferred Phone Number

Preferred Phone Type

Address Line 1

Address Line 2

City

State

ZIP Code

LA Fitness Memberships

Membership Level*

Family Memberships

Alumni may enroll up to five family members residing at the same address by purchasing a Premier Multi-State Membership. Each family membership requires a $25 initiation fee and recurring monthly dues of $29.99. Access to reserve racquetball courts may be purchased at an additional cost of $5/month if this option is selected at the time of enrollment.

Family Member Name