Refer a Friend

Have 1 friend join = Get a FREE MONTH
Refer 3 friends = Get a FREE T-Shirt
Friends will each get a 3 Day Pass

"*" indicates required fields

Your Member Information

Your Name*
Your Main Exygon Location*

Referral Information

Please provide the names and contact information of your referrals.

Referral #1*
Name
Phone Number
Email Address
Referral #2
Name
Phone Number
Email Address
Referral #3
Name
Phone Number
Email Address