Which program do you wish to reactivate/reinstate?:
Unlimited Adult ClassesStrikingGrappling (Gi & No-Gi)Reality Based MMARemote Learning ProgramYouth Martial ArtsMighty Mites
Students Name (First, Last): (required) Account Holder's Name. *Who is Paying* (First, Last): (required)
Your Email: (required)
**You will receive a confirmation email.**
Special / Comments:
Type of Account: Bank AccountVisaMaster CardDiscoverOther Name on Account: Last 4 Digits of Account/Card Number: Expiration Date: (00/00 for Bank Account) **The initial charge will be put on the account we have on file already unless that account payment fails. If the payment fails we will then need to put it on a new account provided by the account holder above.**
I UNDERSTAND (required):
1. All memberships require 31 days written notice to cancel and your payments will stop after the next billing cycle. It is a minimum of two full paying months payment, paid for by the month. This does not include any payment for a special or promotion if it is not a full month's payment.
2. By checking the following box I understand and agree to the Membership Policies and have read the FAQ regarding our rules, payments, cancellations, holds, etc.
3. I agree and confirm that I am 18 years or older and if I am not the student who this addition is concerning, I confirm that I am the parent or legal guardian of the above student.
4. I understand that if I am reactivating an account on hold there will be NO ADDITIONAL FEE for reactivating. However, if I am reinstating an account which was previously canceled I was granted the membership without a start-up fee and I was able to cancel without a cancellation fee. That said, I agree and understand that my account will incur a reinstatement fee of $99.
5. I understand if I canceled and am reinstating my membership, I will be under the current rate for a returning member which can be found HERE.
I UNDERSTAND AND AGREE TO ALL OF THE ABOVE:
Then click "Send" below:
