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Access Card/Fob Credit Card Payment Form

Please speak with someone in the Fitness Office before using this form.  This form is not intended to be used by new Wellington members.  It should only be used to REPLACE a lost card or to purchase cards after homeowners have already received the first two cards which they purchase at closing.  The only time it is to be used to purchase a new card is when you are renting a home in Wellington.  New homeowners pay for the first two cards at their closing so it is not necessary to pay for the first two cards online. 

This form should be used only when replacing a lost card or purchasing a new card for a Wellington member.  Please contact the Fitness Office to verify that orientation paperwork is currently on file before filling out the form and to arrange a time to come to the Fitness Office to pick up the new card.  The cost to replace a lost or stolen access card/fob is $25 each. Additional cards may also be purchased ($25 each) for family members age 15 or older who reside in your home. Only one card may be assigned to each individual.
Each individual must complete or have on file an orientation before their card/fob will be provided and activated.
Please note a Convenience Fee of $4.00 is applied to all credit card payments. You may still pay in person by check at the Fitness Center. Sorry - cash is not accepted.

Name of Homeowner:*
Phone Number:*
Name of 1st person needing a card:
Name of 2nd person needing a card:
Name of 3rd person needing a card:
Name of 4th person needing a card:
Please note a $4.00 surcharge will be added to your credit card purchase. If you locate your lost card and return the new one within 30 days of its purchase, you are eligible for a refund of $25. There is no refund of the surcharge fee.
Access card/fob purchase
@ $25.00 each

* indicates required field

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