Palomar College Fitness Center
MC/VISA Information Form     

* Print this form and mail it with your other membership forms to 

Palomar College Fitness Center
1140 W. Mission Road
San Marcos, CA 92069

or fax it to 760-761-3512 

Name____________________________________________________________ Date____________

Address_____________________________ City______________________ State_____ Zip______

Card Type (please circle):        VISA       Master Card

Card #___________________________ Expiration Date:_________

Signature: (as it appears on the card) __________________________________________________________

Your receipt will be held in your membership folder.


Thank you for you support of the

Palomar College Fitness Center