HEALTHWORKS MONEY BACK PROGRAM

Thank you for referring a member to Healthworks. To help us improve the club, please fill out the below questions. You will then be allowed to process your $20 referral payment

Name:
Member number:
Member referred:
Date referred member joined:
How would you rate service in the club?:
How would you rate the club facilities?:
How would you rate the cleanliness of the club?:
How would you rate the equipment in the club?:
What is the most important project for the club to do:
What is the best thing about the club?:
What needs most improvement in the club?:
Account for Money Back to be transfered to:
This will be transferred within 7 days
Account Name::
Financial Institute::
BSB::
Account Number: