Big Daddy Fitness Inc.

5155 Rue de Sorel
Montreal, QC H4P 1G7
www.bigdaddyfitness.com
Last updated: April 10th, 2025

Waiver and Release of Liability
Usage of Exercise Equipment, Facilities, Training Plans, Nutrition Plans, and Protocols.

1. AGREEMENT DETAILS:
Contract Name: <CONTRACTNAME>
Contract Start Date: <CONTRACTSTARTDATE>
Contract End Date: <CONTRACTENDDATE>
Agreement Date: <AGREEMENTDATE>
Payment Reference: Payment Reference # for AutoPay

Member agrees to pay <CONTRACTFREQUENCY><FIRSTPAYMENTTOTAL> . Beginning at sign up for the first payment date for a period of 12 months. The club guarantees not to increase the membership for at least 1 year.

Notwithstanding any other provisions of this Agreement, you understand and agree that the amount of your membership dues is based on current sales tax rates and to the extent such rates should increase during your membership, the club has the right to increase your membership dues by the amount of such increase. If you have requested the privilege of paying your dues by pre-authorized electronic funds transfer, the amount so transferred will be adjusted to reflect any increase in the sales tax rate.

I hereby authorize Big q Daddy Fitness to initiate debit entries to my account as indicated above for the specified term including all taxes that may be applied to my account. I agree as a member to have read and understood this agreement and rules and regulations that are attached. The contract will be executed at the address of the club.

If I do not pay the service/contract as agreed. Big Daddy Fitness may, at their option, disclose the delinquent status of my service/contract and any other relevant information to credit bureau organization.

In case of returned payment, you will be charged $20 + tax.

Monthly dues are collected as per the membership agreement. In the case of an incomplete transaction, the center reserves the reserved the right to reattempt the transaction. Outstanding money dues may result in revocation of membership. Accounts pas due beyond 60 days are subject to payment in full of the entire balance of the agreement and club use may be revoked as deemed satisfactory by management. Any costs of collection, including the collection of agency fees, court costs, and reasonable attorney’s fees will be incurred.

2. TERMS OF MEMBERSHIP IN HEALTH CLUB:
WAIVER, RELEASE AND INDEMNITY AGREEMENT:
For and in consideration of permitting the member <CLIENTNAME> to join the club and to participate in weight lifting, body building, spinning classes, bootcamp classes, personal training, training programs and other health club activities available at or through the facility, the member hereby assumes all risks of such activity and the use of what is made available to him/her, and voluntarily releases, discharges, waives and relinquishes any and all claims or causes of action for personal injury, property damage or wrongful death occurring to himself/herself arising as a result of engaging or receiving instructions in the facility or any activities incidental there to wherever or however the same may occur and for whatever period said activities or instruction may continue, except where the damage is imputable to ross, negligence on the part of the facility; and for himself/herself, his/hers heirs, executors, administrators and assign does hereby agree that under no circumstances will he/she or his/hers heirs, executors, administrators and assigns prosecute or present any claim for personal injury, property damage or wrongful death against the facility or any officers, agents, employees, or servants for any of said causes of action where the facility has been negligent, except where the damage is imputable to gross negligence on the part of the facility.
IT IS THE INTENTION OF THE MEMBER BY THIS INSTRUMENT TO EXEMPT AND RELIEVE THE FACILITY FROM ANY LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE, EXCEPT WHERE THE DAMAGE CAUSED IS IMPUTABLE TO GROSS NEGLIGENCE ON THE PART OF THE FACILITY.
The member for himself/herself, and in the name of his/her heirs, executors, administrators or assigns, agrees that in the event that any claim for personal injury, property damage, or wrongful death shall be prosecuted against the facility arising out of his/her membership in the facility, he/she shall indemnify and save harmless the facility from any and all claims or causes of action by whomever for personal injury, property damage or wrongful death.
The member agrees that the facility shall not be held liable to him/her guest, for lost or stolen articles. The facility shall not be held liable for loss or damage to any property of his/her guest including his/her automobile/vehicle/scooter/bike and its contents. It is agreed that any damage caused by the member to any third party or a third party’s property while on or near the facility premises will be the sole responsibility of the offending member.
The member acknowledges that he/she has read the foregoing, has been fully and completely advised of the potential dangers incidental to engaging in the facility Activities and is fully aware of the legal consequences of signing this instrument.

3. DISCLAIMER FOR NUTRITIONAL GUIDANCE AND SUPPLEMENT PROTOCOL:
This waiver applies to all nutrition plans, and supplement protocols provided by the facility. By signing this document, the member acknowledges and agrees to the following terms regarding their participation in these programs.

The nutritional guidance and supplement protocols provided by the facility are intended for informational purposes only and are not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or before starting any new dietary regimen or supplement protocol.

The facility does not guarantee any specific results from following the nutritional guidance or supplement protocols. Individual results may vary based on personal health conditions, lifestyle, and adherence to the guidelines provided. The facility is not responsible for any adverse effects or consequences resulting from the use of any nutritional advice or supplements.

By participating in these programs, you acknowledge that you are doing so at your own risk and that you have consulted with a healthcare professional if necessary.

4. TERMINATION OF THE CONTRACT:
”Clause required under the Consumer Protection Act. You, the buyer, may cancel this agreement at any time within a period equal to 1/10 of the intended duration of the contract. In the event of a cancellation within the time limits, the member is responsible to pay the equivalent of 1/10 of the complete contract value (10%). After the 37-day period, you may cancel your membership at any time during your contract period. However, we will charge you a $99.00+tax cancellation fee. To cancel this agreement, mail the attached for annexed, here, signed and dated, to the above address, or send a written notice, signed and dated, indicating your intention to cancel the agreement. The consumer has the right to consult the articles 197-205 of the consumer protection laws, RLRQ, c. P-40.1
BIG DADDY FITNESS RESERVES THE RIGHT TO TERMINATE THE CONTRACT IN THE EVENT OF NON-PAYMENT, NON-COMPLIANCE WITH THE POLICIES AND TERMS AND CONDITIONS, NON-COMPLIANCE WITH THE CODE OF CONDUCT OR ANY OTHER BREACH OF THE REGULATIONS AND LAWS IN FORCE.

5. PARENTS OR LEGAL GUARDIANS OF MINORS/CONDITIONS FOR MINORS:
We the undersigned parents or legal guardians for an in consideration of our child’s participation in the Health Club Activities offered at the Club, state that we have read, the above waiver, release, and indemnification and we expressly agree that the terms and conditions of said waiver, release and indemnification shall apply to and be binding upon us and our minor child in so far as it pertains to his/her participation in the Health Club Activities and to any injury or damage our minor child may sustain or cause as a result of such participation, except where the damage is imputable to gross negligence on the part of the Club.
Members under 16 years of age must bring a parent or legal guardian to the gym on their first visit to pick up their membership card. The member under 16 years of age declares that they have the consent of their parent or legal guardian, who has read and understood the terms and conditions of the membership and the conditions for minors. The parent or legal guardian must provide proof of parentage or guardianship when present at the gym. Members under the age of 16 will not have access to the gym until full consent has been obtained from their parent or legal guardian.

Members under the age of 16 are not permitted to train alone unless they are participating in a private personal training session or a Boot Camp session with a personal trainer from Big Daddy Fitness.

6. MEMBERSHIP:
The membership card is not to be used by anyone other than the member to whom it is issued. Membership cards are required for admittance to the gym facility. Members must scan their key tag upon entering the facility. If a member of the facility forgets or misplaces their key tag, they must present a valid photo ID at the reception. The ID will be held at the reception until the member leaves the facility. In the event of lost or stolen key tag, the member will be charged 10$ for a replacement key tag.

The contract is valid between the dates indicated on it. No suspension or extension of the term is possible under any circumstances, including moving or medical reasons.
Members do not require a membership to attend a spinning class, Boot Camp class, or Pilates class. However, participation in these classes does not grant access to the gym facility. After finishing their class, members must leave the facility unless they purchase a gym pass if they wish to train afterwards.

You can upgrade your membership at any time. Note that when you upgrade your membership, a new one-year contract is created on that date. Unfortunately, it is not possible to downgrade your membership, unless you cancel your membership and pay the applicable cancellation fees.
Big Daddy Fitness reserves the right, as per the terms of your Membership Agreement, to cancel or suspend Memberships, without refund, if a Member displays any of the following behaviour:
Failure to follow our rules and regulations, or any breach of the terms of your Membership agreement;
Causing a nuisance or disturbance;
Committing any illegal or immoral acts;
Taking action that may endanger yourself or others.

7. KEY TAGS:
A valid photo ID will be required at your first visit in order to receive your Membership key tag. As a Member, you are required to upload a SELFIE picture on your Mindbody application or to have the receptionist take your picture, to ensure the safety and security of everyone in the facility. This photo will be saved and used only for your Mindbody profile which will allow for quick photo verification on future visits to the facility.
A Membership key tag entitles the corresponding Member to use the Big Daddy Fitness facility. The key tag is created exclusively for the use of the Member it is issued to and is not transferable. Members found fraudulently sharing key tags may face discipline, including cancellation of Members and/or a ban to our facility.

8. ACCESS TO THE GYM:
The facility will be available to members during operational hours, although it may close for a few days during the year for holidays. Members will be notified in advance of any closures. We do everything in our power to ensure continuous opening according to the posted opening hours, however, certain situations beyond our control may occasionally arise. Thus, we reserve the right to temporarily close the gym, without monetary compensation, in the event of force majeure, power failure, internet failure, unsafe training environment or for any other reason that we deem valid.
The members acknowledge that there may be occasional equipment failures, service breakdowns, delays in opening, or other situations where reasonable time may be required to restore the situation. In such cases, no monetary compensation will be given.
Members are strictly prohibited from giving access to another person who is not a member or who does not have their access key tag, including opening the door even if you know the person. Offenders of these regulations are liable to prosecution and Big Daddy Fitness reserves the right to immediately terminate their membership.

9. LOCKERS:
Lockers are provided for daily use by members only. It is prohibited to keep your personal belongings in the locker overnight and must be cleared by closing time. If locks are left for an extended period of time, a notice will be posted and after a period of 48 hours, appropriate action will be taken if this policy is not followed.
Members are urged not to bring valuables into Big Daddy Fitness premises. Big Daddy Fitness, its agents or employees shall not be liable for the loss, theft or damage to personal property of members and, or guests.

10. TRANSFERABILITY:
Neither member nor unauthorized agent will sell, assign or transfer this agreement or his/her membership in the club or any other right or privilege herein or therein contained. Any such sale, assignment or transfer shall be null and void and of no force or effect whatsoever. This membership is not transferable in any manner unless under circumstances which have been approved by management only.

11. STAY CONNECTED WITH US:
Keeping in touch is important to us, Email and Phone communications allows us to keep you informed about new products, incredible offers, service information and other news. By signing the membership agreement, I consent to receiving electronic and phone communications, including emails and phone calls from Big Daddy Fitness. I may withdraw consent at any time and Unsubscribe by presenting myself to the front desk or sending an e-mail with read receipt to my home clubs info address state on top of page one of the contracts.

12. GENERAL RULES:
Members must remove outdoor shoes before entering the exercise floor, especially winter because we have to keep our facility clean. Only indoor shoes are allowed in the facility
We have ZERO tolerance for aggressive words or actions towards employees and other members. The utmost courtesy and respect for others are required at all times.
Members are expected to leave the premises by closing time.
No loud or abusive language is permitted. Observe and respect the personal space of other Members.
No alcohol, smoking, or drugs are allowed on the premises.
THE SALE, DISTRIBUTION, OR PROMOTION OF PRESCRIPTION DRUGS WILL RESULT IN THE IMMEDIATE REVOCATION OF MEMBERSHIP.
No personal notices, advertising or other literature, either posted or for distribution is allowed without the express written permission of the management.
Adjustment to the television, radio, heater, air condition, fans and other equipment may be made by staff only.
No members are allowed behind the front desk.
Cups, papers, and trash should be disposed of in the proper receptacles.
Big Daddy Fitness reserves the right to refuse admittance and the use of the facility to anyone.
The use of chalk or the dropping of weights is prohibited.
Members may not enter offices or other restricted areas unless authorized by management.
Big Daddy Fitness may require official medical clearance documents in participation of Health Club Activities.
We welcome you to bring a videographer for photo shoots at our gym, however, please ensure that you obtain prior authorization from the gym owners to organize and plan this event. This is essential for maintaining a smooth operation and ensuring everyone’s safety.
Please note that if these guidelines are not followed, we will have to ask you to leave. Thank you for your understanding and cooperation! Big Daddy Fitness reserves the right to terminate a contract at any time.

13. EXERCISE FLOOR:
Members are required to wear shirts at all times. Members must be properly attired in standard workout clothes while in exercise areas that is comfortable, and respectable. Swimsuits, underwear, and street clothes are not allowed inside the gym.
Our facility features a posing room where members can go inside and close the door to take off your clothes and take pictures and assess their physique.
Proper athletic shoes must be worn on the exercise floor at all times to promote safe exercise and reduce the chances of injuries. NO SANDALS or street shoes allowed. You will not be allowed to enter the facility if you are wearing sandals or inappropriate footwear.
The use of a towel is mandatory at all times. Please be courteous and wipe down equipment after each use. Please do not spray directly on equipment. Spray on towel first, then wipe the equipment.
Food is not allowed in the gym. Members may only consume food in the bistro area located at the front reception.
To prevent the risk of tripping or injury, gym bags must be stored in the locker room.
Members should replace all free weights on appropriate racks after use. Free weights and weight stacks are to be lowered carefully upon completion of an exercise. Abuse of equipment will not be tolerated.
Please refrain from loudly dropping weights or dumbbells after use. Dropped weights can bounce and cause injury to yourself or other Members and Associates, and can damage the lifting area or the weights themselves.
Spotters are recommended for bench presses, incline and decline presses, and squats to avoid injury.
Be mindful that other Members may be waiting to use the equipment that you are occupying and allow fellow Members to work-in between sets. During busy hours, please limit your time on a single cardiovascular machine to 20 minutes.
When using the sauna, nudity is out of the question.
If you see another Member exhibiting inappropriate, dangerous, or disrespectful behaviour, please notify a Big Daddy Fitness Associate; do not address the matter directly with other Members to avoid further escalation.
Use of mobile devices and capturing photos/videos is permitted in public areas of the Club but is prohibited in change rooms, showers and saunas.
No member is allowed to provide services to other members which are offered by Big Daddy Fitness. However, only trainers affiliated with Big Daddy Fitness are permitted to offer services to our members.

14. CHANGES TO TERMS OF USE:
Big Daddy Fitness may revise these Terms of Use at any time without notice. Any use of the Sites following the date on which changes to these Terms of Use or the Privacy Policy are published on the Sites shall constitute your acceptance of all such changes. You expressly agree that Big Daddy Fitness shall have no obligation to provide you with any notice of any changes, and you hereby expressly waive any right you may have to receive notice of any changes to these Terms of Use or the Privacy Policy.

15. PRIVACY POLICY:
Information that you provide to us or that we collect about you and your Company through your access to and use of the Site is subject to our Privacy Policy, the terms of which are hereby incorporated by reference into these Terms. We encourage you to read and become familiar with our Privacy Policy.

16. COPYRIGHT:
All content, software, and technology included on the Sites or used in the operation of the Sites is the owned or licensed property of Big Daddy Fitness or its content, software, and technology suppliers, and is protected by U.S. and international copyright laws. The compilation (meaning the collection, arrangement, and assembly) of all content on the Sites is the exclusive property of Big Daddy Fitness and protected by U.S. and international copyright laws. Big Daddy Fitness grants you permission to view and use content, software, and technology made available to you on the Sites in connection with your own personal, non commercial use of the Sites. Any other use, including the reproduction, modification, distribution, transmission, republication, display, or performance, of the content, software, and technology on the Sites is strictly prohibited.

17. DISCLAIMER OF WARRANTIES:
THE SITES AND ALL CONTENT, MATERIALS, PRODUCTS AND SERVICES AVAILABLE THROUGH THE SITES ARE PROVIDED ON AN “AS IS, WITH ALL DEFECTS” AND “AS AVAILABLE” BASIS WITHOUT WARRANTIES OF ANY KIND, EXPRESS, IMPLIED, STATUTORY OR OTHERWISE. BIG DADDY FITNESS DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION, WARRANTIES OF TITLE, NON-INFRINGEMENT, AND IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, SATISFACTORY QUALITY, ACCURACY OF INFORMATIONAL CONTENT, AND ANY WARRANTIES ARISING OUT OF ANY COURSE OF DEALING OR USAGE OF TRADE. BIG DADDY FITNESS MAKES NO REPRESENTATION THAT THE SITES OR ANY CONTENT IS FREE FROM ERRORS, VIRUSES, BUGS, OR OTHER HARMFUL COMPONENTS. BIG DADDY FITNESS MAKES NO REPRESENTATION OR WARRANTY THAT CONTENT PROVIDED ON THE SITES IS APPLICABLE OR APPROPRIATE FOR USE IN LOCATIONS OUTSIDE OF THE UNITED STATES. NOTHING IN THESE TERMS OF USE OR IN ANY ORAL OR WRITTEN DESCRIPTION OF THE SITES WILL CONSTITUTE A REPRESENTATION OR WARRANTY WITH RESPECT TO THE SITES.
YOU ACKNOWLEDGE, BY YOUR USE OF THE SITES, THAT SUCH USE IS AT YOUR SOLE RISK.
18.LIMITATION OF LIABILITY:
IN NO EVENT SHALL EITHER BIG DADDY FITNESS OR ITS AFFILIATES, FRANCHISEES, OR AGENTS BE LIABLE FOR ANY DIRECT, INDIRECT, PUNITIVE, INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE USE OF THE SITES OR THE SERVICES AVAILABLE THROUGH THE SITES, WHETHER BASED ON CONTRACT, TORT, WARRANTY, STRICT LIABILITY OR OTHERWISE, EVEN IF ADVISED OF THE POSSIBILITY OF ANY SUCH DAMAGES.
Certain state laws do not allow limitations on implied warranties or the exclusion or limitation of certain damages. If these laws apply to you, some or all of the above disclaimers, exclusions, or limitations may not apply to you, and you may have additional rights.
Under no circumstances whatsoever shall Big Daddy Fitness’s aggregate liability resulting from or relating to your use of the Sites exceed Five Dollars ($5.00).
19. PROHIBITED ACTIVITIES & VISITORS OBLIGATIONS:
As a visitor or user of the Sites you shall not:
violate any applicable law or regulation;
upload, post, use, transmit, or otherwise make available, including by e-mail, (each, a “Post”) any content or information that is false or inaccurate;
Post any content that is unlawful, harmful, threatening, abusive, harassing, tortious, defamatory, vulgar, obscene, libelous, invasive of another’s privacy, or content that could otherwise be considered to be objectionable;
impersonate or use the identity of another person or organization, or falsely state or otherwise misrepresent your affiliation with a person or organization;
engage in any activities or manipulate identifying material to misrepresent the origin of content;
Post any content that is subject to any disclosure restrictions;
Post any materials, items, information or content that infringes or otherwise violates any patent, copyright, trademark, or any other intellectual property rights;
Post any unsolicited or unauthorized advertising or promotional materials, including without limitation, “junk mail,” “spam,” “chain letters,” “pyramid schemes,” or any other form of solicitation;
use the Site to disseminate any information or content, including by e-mail, that is unlawful, harmful, threatening, abusive, harassing, tortious, defamatory, vulgar, obscene, libelous, invasive of another’s privacy, or information or content that could otherwise be considered to be objectionable;
Post any material that contains software viruses or any other corrupt computer code, files or programs that impair the use of any computer software or hardware or telecommunications equipment;
interfere with or otherwise limit the use of the Sites by other users; or collect, compile, or store personal information about other users of the Sites;
disrupt or interfere with the operation of the Sites by overloading or exceeding the capacity of the Sites or the systems resources; accounts; usernames and passwords; servers; or networks connected to or accessible through the Sites or any affiliated or linked sites;
disrupt or interfere with the security of, or otherwise cause harm to, the Sites or the systems resources; accounts; usernames and passwords; servers; or networks connected to or accessible through the Sites or any affiliated or linked sites;
use any robot, spider, other automatic device, or manual process to “screen scrape,” monitor, “mine,” or copy the web pages on the Sites or the content contained therein without Big Daddy Fitness’s prior, express, and written permission; or
use the Sites for commercial purposes.
You agree that you are solely responsible for the Post of any content that you make available on or send through the Sites (“User Content”). In addition to the rights granted to Big Daddy Fitness elsewhere in these Terms of Use, you hereby grant Big Daddy Fitness the irrevocable right to copy and use User Content in connection with the Sites and for the purposes related to your Post of the User Content. Although Big Daddy Fitness has no obligation to screen, edit or monitor any of the User Content or user conduct on the Sites, Big Daddy Fitness reserves the right, and has absolute discretion, to remove, screen or edit any User Content and to monitor any user conduct on the Sites at any time and for any reason without notice. Your User Content may be available on the Sites for a limited period of time, as determined by Big Daddy Fitness in its sole discretion. You are solely responsible for creating backup copies and replacing any of your User Content at your sole cost and expense.
By the Post of User Content to the Sites, you represent and warrant that (a) the User Content is non-confidential is not subject to disclosure restrictions under any applicable data privacy laws or regulations; (b) you have all necessary rights to Post the User Content to the Sites and to grant the rights to Big Daddy Fitness you grant in these Terms of Use; (c) the User Content is accurate and not misleading or harmful in any manner; (d) the User Content, and your use and the Post thereof in connection with the Sites, does not and will not violate these Terms of Use or any applicable local, state, national or international statute, regulation, or law.
20. LINKS TO OTHER WEBSITES:
The Sites may contain links to other web sites. Additionally, other web sites may contain links to the Sites. Big Daddy Fitness does not review or monitor the web sites linked to the Sites and Big Daddy Fitness is not responsible for the content or policies of any other web sites. Any link established by Big Daddy Fitness does not constitute an endorsement of the other web sites or create a relationship between Big Daddy Fitness and the operators of other web sites. Big Daddy Fitness disclaims any liability with respect to your use of any other web site, and you release Big Daddy Fitness from any liability related to your use of any link to another web site or your use of any other web site. Where the Sites contains a link to another web site owned and/or operated by Big Daddy Fitness, such web site use may be subject to different and additional terms of use and privacy policy terms and conditions.
21. SUBMISSION:
Any and all questions, comments, suggestions, and similar materials or information that you send or submit to Big Daddy Fitness or a third party provider on the Sites, by a Post or otherwise (collectively, “Submissions”), shall become Big Daddy Fitness’s property; and you hereby transfer, sell, and assign to Big Daddy Fitness’s all of your right, title, and interest in and to any such Submissions, including without limitation, any and all related patent, copyright, trademark, and other intellectual property rights. Big Daddy Fitness’s has no obligation of any kind whatsoever to maintain any confidentiality with respect to any such Submissions. Big Daddy Fitness’s shall be free to use them for any purpose whatsoever without providing you notice or receiving your consent, and without restriction or compensation.
ACKNOWLEDGMENT OF UNDERSTANDING AGREEMENT:
In making this application, I ___________________, confirm that I have read and fully understand and agree with all the rules and regulations and release of liability. I voluntarily execute this document with full knowledge of its content and significance.

Client Information
Name: <CLIENTNAME>
Address: <CLIENTADDRESS>, <CLIENTCITY>, <CLIENTSTATEPROV>, <CLIENTPOSTALCODE>
Phone: <CLIENTPHONE>
Email: <CLIENTEMAIL>
Date of Birth: <CLIENTBIRTHDAY>
Signatures
Client Signature: ___________________________________________
Date: <AGREEMENTDATE>

Emergency Contact Information
Emergency Contact Name: Client’s emergency contact name
Relationship: Client’s emergency contact relationship
Phone <CLIENTPHONE>
Email: Client’s emergency contact email

Big Daddy Fitness Membership cancellation form (in regards to the Consumer Protection act, s.199)

Made on:<AGREEMENTDATE>
At Big Daddy Fitness, 5155 Rue de Sorel, Montreal, QC, H4P 1G7
Name of gym member:<CLIENTNAME>
Signature of gym member:________________ _________________________
Adress of gym member:<CLIENTADDRESS>, <CLIENTCITY>, <CLIENTSTATEPROV>, <CLIENTPOSTALCODE>