York Chiropractic &  Massage - Dr. Joseph Lerner                                                                             Horsham 24 Hour Fitness Club                                                                                        217 Witmer Road                                                                                      Horsham, PA 19044                                                                                           215 675 4290                                                  www.HorshamFitnessClub.com >>>    PLEASE FILL OUT THIS REGISTRATION FORM EVEN IF YOU ARE NOT READY TO JOIN, IN ORDER TO RECEIVE SPECIAL OFFERS AND UPDATED SCHEDULE INFORMATION.                                                            REGISTRATION IT'S EASY TO REGISTER FOR YOGA OR PILATES:  . Please right click, "Select all",  then right click "Copy", and "Paste" into then send to HorshamFitness@gmail.com   Your e-mail response should include the following:   NAME: ADDRESS: CITY, STATE, ZIP CODE: PHONE #: E-MAIL  ADDRESS: HOW DID YOU HEAR ABOUT US? HAVE YOU DONE YOGA OR PILATES BEFORE? HOW MUCH WEIGHT WOULD YOU LIKE TO LOSE? BY WHAT DATE? 1- HOW OFTEN ARE YOU INTERESTED IN WORKING OUT? _1     _2     _3     _4 days week 2- WHICH CLASSES ARE YOU INTERESTED IN?    __MON      12:15 PM    YOGA          Traditional Hatha Yoga  - Great for beginners __MON      7:30 PM     YOGA           Traditional Hatha Yoga  - Great for beginners __TUES     4:30 PM     PILATES       Tone those abs and your core! __WED     7:30 PM     YOGA            Traditional Hatha Yoga - Great for beginners __THUR    7:30 PM     PILATES        Our signature Pilates class - also great for beginners __FRI       12:15         PILATES       Great Core workout We offer about 135 classes every month including Yoga, Pilates, Spinning, Core Strength, Zumba and many more.  WE NOW OFFER SPINNING CLASSES EVERY DAY !!!   www.Horsham24HourFitness.com PERSONAL TRAINING, SEMI PRIVATE OR PRIVATE, ONE ON ONE PILATES OR YOGA AVAILABLE  MON - FRI. 3- WHICH OF THE FOLLOWING ARE YOU ALSO INTERESTED IN __MASSAGE                      __PERSONAL TRAINING    __EXERCISE                     __CHIROPRACTOR                                          __LOSE WEIGHT              __DIET __LOSE INCHES               __FLEXIBILITY __BODY SCULPTING         __STRESS RELIEF __MEDITATION                __WOMEN'S HEALTH __FITNESS MAKEOVER    __BIKINI BOOT CAMP __BUFF BRIDE                __BUFF BRIDAL PARTY         The above listed services are covered by your HMO or Insurance.  Car accident insurance even covers Massage and Acupuncture!     Please allow us to reduce your stress and confirm your HMO benefit for you. 4- DO YOU HAVE HEALTH INSURANCE? . __AETNA HMO/PPO               __KEYSTONE HMO __PERSONAL CHOICE           __AMERIHEALTH __BLUE CROSS                    __UNITED __CIGNA                              __CAR ACCIDENT __HIGHMARK                        __WORK COMP __OTHER                              __NO INSURANCE  5- ONE ON ONE PILATES OR YOGA LESSONS ARE COVERED, AS LOW AS $5 PER ONE HOUR SESSION. MASSAGE AND MOST OF OUR SERVICES ARE COVERED BY YOUR INSURANCE OR HMO AND MASSAGE IS USUALLY JUST $5 PER VISIT! . ___CHECK HERE IF YOU ARE INTERESTED TO SEE IF YOUR HMO OR INSURANCE COVERS MASSAGE THERAPY, ONE ON ONE PILATES OR PERSONAL TRAINING. We will need your ID#___________________________________ Birthday________________________________ 6- WHICH FEE OR MONEY SAVING SPECIAL OFFER DO YOU CHOOSE FOR YOUR YOGA/PILATES PROGRAM?  __ ONCE A WEEK FOR 6 WEEKS                $  39           NEW CLIENTS -  SPECIAL OFFER  __ UNLIMITED MONTHLY CLASSES            $  79    __ TRY  US OUT 4 CLASSES....... JUST       $  19           must be used within 2 weeks __ PAY AS YOU GO                                    $  15          PER CLASS __JOIN OUR GYM AND GET 3 MONTHS FREE          *  AND YOGA / PILATES CLASSES ARE FREE !!             www.HorshamFitnessClub.com                   *  ( 6 month minimum) __CHECK TO SEE IF I CAN GET $150 REIMBURSEMENT THROUGH HMO OR INSURANCE  7-  __CHECK HERE IF YOU ARE INTERESTED IN THE "YesHMO" PLAN www.YesHMO.com WHICH SUPPLEMENTS YOUR (KEYSTONE OR AETNA) HMO AND PROVIDES COVERAGE FOR YOGA, PILATES, MASSAGE  CHIROPRACTOR, ACUPUNCTURE...  with no referrals, no paperwork!  ALT-MED-BLUE PA COVERS ALL SERVICES WITH NO LIMIT, NO DEDUCTIBLE, NO REFERRALS, NO EXCLUSIONS, NO PAPERWORK, NO PRE-CERTIFICATION and MAINTENANCE TREATMENTS ARE COVERED! NO LIMIT, NO REFERRALS, NO DEDUCTIBLES ! NO LIMIT, NO REFERRALS, NO DEDUCTIBLES ! NO LIMIT, NO REFERRALS, NO DEDUCTIBLES ! MOST HMO (HEALTH MAINTENANCE ORGANIZATION) PLANS DO NOT COVER HEALTH MAINTENANCE TREATMENTS. THIS PLAN DOES! _________________________________________________________________________ REGISTER BY MAIL: IF YOU PREFER TO MAIL YOUR REGISTRATION, PLEASE PRINT THIS FORM AND SEND ALONG  WITH YOUR CHECK PAYABLE TO: DR. JOSEPH LERNER  217 WITMER ROAD HORSHAM, PA 19044  PERSONAL TRAINING AND PRIVATE YOGA & PILATES SESSIONS ARE AVAILABLE MONDAY-FRIDAYS, AND ARE COVERED BY MOST INSURANCE AND HMO PLANS...REALLY. When you register please inform us of any medical conditions which may require a modification in your specific program.   Please see our sister website www.HorshamFitnessClub.com for more information about Yoga or Pilates. HMO coverage and Massage, Chiropractic, Acupuncture, Shiatsu, Craniosacral, Reiki, Fitness programs, Personal Training are offered.  Massage Therapy as low as $5 per visit with your HMO! York Chiropractic (Dr. Joseph Lerner) accepts all major HMO and insurance plans including Keystone, Aetna, Personal Choice, Cigna, Amerihealth, United... These plans cover all chiropractic, massage, shiatsu and personal exercise programs under the doctor's supervision.  Yoga or Pilates instruction may be covered by your insurance, some restrictions apply. Acupuncture is covered with car accident insurance, some Blue Cross plans, Alt Med Blue.