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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

Bank/Building Society 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

GOLD MEMBERSHIP | £109.95pcm

SILVER MEMBERSHIP | £89.95pcm

BRONZE MEMBERSHIP | £79.95pcm

KIDS SINGLE MEMBERSHIP | £59.95pcm

KIDS SIBLINGS MEMBERSHIP | £99.95pcm

FAMILY MEMBERSHIP (1 Adult + 1 Child) | £119.95pcm

MEMBERSHIP LENGHT

3 MONTHS

6 MONTHS

12 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 of ONE JIU-JITSU (herein after referred to the as the Club) under the standard terms and conditions, which I have had an opportunity to read and 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

Thanks for submitting your Membership Application.

We will be in touch with you ASAP. Osss!

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LET'S GET YOU ROLLING

Use the form below to chose your Membership and to setup your Direct Debit mandate

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BRAZILIAN JIU-JITSU IN BRIGHTON, WORTHING, CHICHESTER & GUILDFORD

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