Insurance Reimbursement Request

GET REIMBURSED FOR YOUR MEMBERSHIP DUES

Specific corporations, employers and/or health insurance companies may reimburse a portion of your membership dues. Please fill out the following form to request a receipt letter and/or usage reports. Please allow 2-3 business days for your request to be completed. Your request will be emailed to you.

Insurance Reimbursement Request

"*" indicates required fields

Location*

Name*

First Last

Member #*

Address

Street Address City State / Province / Region ZIP / Postal Code

Email Address*

Cell Phone Number*

Dates Needed for Reimbursement

Start Date*

End Date*

I need the following...(Please check all that applies)*

Receipt letter with total payment during time frame

Usage report of check in visits during time frame

Questions?

Testimonials

What Our Members Say

” Great gym. Professional staff. Sauna. Pool. Steam room. Jacuzzi. Basketball courts. Tennis. Racquetball, and more. I’ve been going to Club Fit since 2012. I recently moved out of state, but have enjoyed my time there. The other gym members are fantastic as well and I have built many friendships during my time here. Would certainly recommend this gym to friends and family. “

☆☆☆☆☆