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CONTRACT MEMBERSHIP ADJUSTMENT REQUEST FORM

YOU MUST ADJUST YOUR CONTRACT BY SUBMITTING THIS FORM.
ONCE SUBMITTED THIS FORM REQUEST INFORMATION GOES DIRECTLY TO OUR BILLING VENDOR FOR REVIEW TO DETERMINE MEMBERSHIP CONTRACT PAYMENT OBLIGATIONS. ADJUSTMENTS WILL BE DONE AUTOMATICALLY BASED ON THE TERMS BELOW.  FAILURE TO MEET CONTRACT PAYMENT TERMS AND OBLIGATIONS WILL RESULT IN ADDITIONAL FEES DUE TO BILLING COLLECTIONS EFFORTS. ​BY SUBMITTING THIS FORM YOU UNDERSTAND THE BELOW TERMS OUTLINING IN YOUR CONTRACTED MEMBERSHIP PAYMENT TERMS WHICH WILL ONLY BE ADJUSTED BASED ON THE FOLLOWING CONDITIONS.

Freeze Payment:

We offer one freeze of one month per yearly membership term for $35 or 2 months for $85 or 3 months for $125. We require 7 days' notice using this form. We apply a $15 dollar class drop-in fee as needed if the student wants to drop in to train. If a member doesn't train for at least 90 days or 3 monthly payment cycles they will be billed for the amount of the free sign-up equipment at the original purchase price if applicable.

30 DAY Scheduled Cancellation:

Scheduled cancellation of membership requires 30 days' notice using this form or you will be billed for Early termination $85 for each month contracted. Students can rejoin at new updated rates anytime. If a member doesn't train for at least 90 days or 3 monthly payment cycles they will be billed for the amount of the free sign-up equipment at the original purchase price if applicable.

Early Termination:

Early termination of your term membership requires 7-day notice using this form. The fee is $85 per membership for each month contracted. Students can rejoin at new updated rates anytime. Students can rejoin at new updated rates anytime. If a member doesn't train for at least 90 days or 3 monthly payment cycles they will be billed for the amount of the free sign-up equipment at the original purchase price if applicable.

By submitting this form you agree that in the event, the obligation to your payment terms are not must and in the event that FUSION FREESTYLE MARTIAL ARTS must retain our collection agency or law firm to collect past due balances owed to FUSION FREESTYLE MARTIAL ARTS, you are responsible to pay any and all collection agency fees, court costs, attorney fees, or incidental costs associated with collecting this debt. 

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52.204.17.27

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52.204.17.27