Crossover Membership Enrollment

Crossover Membership Enrollment

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Crossover Personal Membership Enrollment
Crossover Personal Membership Enrollment
Please complete the following information.
  • 1
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  • 4
    This will be the email address you will use to login to your online patient portal account
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  • 5
    Your Default Wellness Center should be the location you see yourself frequenting the most often. However, you can go to any location if preferred.
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  • 6
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  • 7
    Please read the agreement below. You will be asked to sign on the next page.
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  • 8
    Clear
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  • 9
    Please choose which package you would like to enroll in and enter your credit card information for payment. 
    • text
      Membership Package 1 "Test Drive"
      $699.00 for the first month then, $99.00 for each month
      SUBSCRIBE
    • text
      Membership Package 2 "Over Drive"
      $1,199.00 for the first month then, $199.00 for each month
      SUBSCRIBE
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