Kids Boxing Membership Direct Debit Kids Membership Direct Debit Direct Debit Form Child's Name(Required) First Last Email(Required) Payment InstructionIMPORTANT: Mindbody Payments will process all direct debit and credit card payment on behalf of Fit2box. You maybe also receive an email from our processing partner, Stripe, before payments or in the event of a failed payment Kids Boxig Membership Options(Required) Term 1-4: $240 1x Weekly Class Access Term 1-4: $340 2x Weekly Class Access Membership options Direct Debit Date Options(Required) Term 1: 25 Janaury- Term 2: 19 April- Term 3: 12 July- Term 4: 4 October Please Select Debit Date Above you will be charged accordingly with your selected date rangeONBAORDING PACKS COMPULSORY(Required) Onboarding Pack $45 6oz Kids Gloves Onboarding Pack $58 12oz Boxing Gloves Existing Member Changing Membership options or already have own gloves $0 Payments will be Direct Debit from a nominated account at the start of each Term 1 Janaury 25 , Term 2: 19th April , Term 3: 12th July and Term 4: 4 October . After agreement is finished payment will continue each term unless written 30 days cancellation notice is recieved.Direct Debit Cancelation / Agreement(Required) All injury paused memberhip will require a doctor’s or physiotherapist certificate with a pause and resume date All cancellations will need to be emailed to hello@fit2box.com.au To cancel your direct debit you are required to provide 30 days written notice I acknowledge that my direct debit will not be cancelled automatically at the end of this agreement. I understand that after my contract expires payments will continue unless otherwise notified in writing For all paused memberhip the duration of the pause will auotmatically be added to the end of your 12 months agreement Debit will be debited on the dates specified as per terms above. All cancellation will need to be emaled with a 30 days notice.Payment Method (Select One)(Required)Bank AccountCredit Card1. BANK ACCOUNTName of Institution(Required)BSB(Required)ACCOUNT(Required)Name of Account Holder(s)(Required)Branch Location(Required)2. CREDIT CARDCard Type(Required) Visa Mastercard Card Number(Required)Expiry Date (mmyy)(Required)Name on card(Required) Δ
