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MEMBERSHIP APPLICATION
Instruction to your Bank or
Building Society to pay by Direct Debit
YOUR DETAILS
Name(s) of Account Holder(s)
Date of Birth
Email
Your Phone Number
Let's Find Your Address
Branch Sort Code
Account Number
Instruction to your Bank or Building Society: Please pay ONE JIU-JITSU Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with ONE JIU-JITSU and, if so details will be passed electronically to my Bank/Building Society.
YOUR MEMBERSHIP
CHOOSE AN OPTION
*
Kids BJJ | £69.95pcm
Teens BJJ | £79.95pcm
Adult Off-Peak | £79.95pcm
Adult Bronze | BJJ only | £89.95pcm
Adult Silver | UNLIMITED | £99.95pcm
Adult Gold | UNLIMITED + PT | £139.95pcm
Kids Siblings | £119.95pcm
Teens Siblings | £139.95pcm
Siblings 1 Kid + 1 Teen | £129.95pcm
Family (1 Adult + 1 Child) | £149.95pcm
Minimum Initial Membership Commitment
*
3 Months
6 Months
FIRST PAYMENT TO BE COLLECTED ON
Application Declaration
Before signing PLEASE READ BELOW
I (named above) confirm the above information is correct and apply for membership at ONE JIU-JITSU (herein after referred to the as the Club) under the standard terms and conditions, which I have had an opportunity to discuss with the Club. In particular I understand and have discussed the following with the Club: i) My membership will continue automatically after the commitment period end date unless notice is given as per the standard terms and conditions. After the Commitment Period I may terminate my membership by giving the Club at least 1 (one) full calendar month's notice, in writing (and receive a written acknowledgement from the Club). ii) I may request suspension of my membership by reason of illness and/or injury for one continuous period of at least 1 (one) month and a maximum of 3 (three) months. I understand 30 days’ written notice must be given to the Club and the Club has the right to request a doctor's certificate.
Initials
Your Signature
Clear
Submit your Membership Application
LET'S GET YOU ROLLING!
Use the form below to chose your Membership and to setup your Direct Debit mandate
Anchor 1
Anchor 2
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