Request an appointment

Please select the centre nearest you, complete the form below and a membership consultant will contact you shortly to confirm your appointment. Please allow for a minimum of 1 working days notice.

All fields marked with an * are compulsory

Your Details
Title:
*First name:
*Surname:
*Home Phone:
Mobile Phone:
*Email:
*Goals:
*How did you hear
about ECU Sport
& Fitness Centre:
*Nearest Centre :
Preferred Date: Enter in dd/mm/yyyy format
Preferred Time:
General Comments:
Security Code*: CAPTCHA Image
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