Rebates - Club Active

MEMBERSHIP REBATES REQUEST PORTAL

Title

First name

Last name

Mobile number

Date Of Birth

Select Club Location

Membership Type

Private Health Insurer

Private Health Insurance Member Number

Period Of Claim

Which healthcare professional are you seeing at Club Active?

I confirm my information is accurate and authorise Club Active to prepare my claim, verify my details, share necessary information with my insurer, and contact me if needed.

After submitting, a Club Active team member will prepare your documents and be in contact with you in 5-10 business days.

MEMBERSHIP REBATES REQUEST PORTAL

CHANGE THE
WAY YOU AGE

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MEMBERSHIP REBATES REQUEST PORTAL

CHANGE THE WAY YOU AGE

CHANGE THE
WAY YOU AGE