Fitness Center Reimbursement Form Your Name *Name of Facility *Redemption Period *Please Indicate the Type of Membership *Please select an optionMonthlyAnnualEmailFYI ...0 / 180Attach Gym Paid Receipt. If you have paid for a yearly membership, you do not have to attach the receipt more than once.Choose FileNo file chosenDelete uploaded fileConsent *Yes, I understand and agree with the MRLS Gym Membership policy and usage guidelines including alerting MRLS Administration in the event I cancel a yearly membership to a gym or fitness center. Send Message