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Membership ID Number/Card ID Number (required)
Contact Number (required)
Membership type (required)
Please select from the list belowFitness - SingleFitness - JointFitness - Family
What centre are you a member at? (required)
Please select from the list belowBrentford Fountain Leisure CentreHanworth Air Park Leisure CentreHeston Pools and FitnessIsleworth Leisure CentreNew Chiswick PoolOsterley Sports Centre
Period of Membership Freeze (required)
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Over all how would you rate your Lampton Leisure Experience? (required)
Please select from the list below10987654321
Would you recommend Lampton Leisure? (required)
We are always striving to improve our service and would appreciate any feedback. please leave any additional information below.