logo_edited.png

30 DAY CONTRACT MEMBERSHIP
ADJUSTMENT REQUEST FORM

YOU ARE UNDER A 30 DAY CONTRACT. BY SUBMITTING THIS FORM YOUR MEMBERSHIP WILL NOT BE ADJUSTED FOR  30 DAYS FROM THE DATE YOU SUBMIT THIS INFORMATION.
ALL REQUESTS MUST BE SUBMITTED USING THIS FORM. ONCE SUBMITTED THIS FORM REQUEST INFORMATION GOES DIRECTLY TO OUR BILLING VENDOR FOR REVIEW TO DETERMINE MEMBERSHIP CONTRACT OBLIGATIONS. ADJUSTMENTS WILL BE DONE AUTOMATICALLY BASED ON THE TERMS BELOW. FAILURE TO MEET PAYMENT OBLIGATIONS WILL RESULT IN ADDITIONAL FEES OR COLLECTIONS EFFORTS.

BY SUBMITTING THIS FORM YOU UNDERSTAND THE BELOW TERMS OUTLINING IN YOUR 30 DAY CONTRACTED MEMBERSHIP 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.

30 DAY Scheduled Cancellation:

Scheduled cancellation of membership requires 30 days' notice using this form or you will be billed for Early termination $85. Students can rejoin at new updated rates anytime plus a renewal fee of $45. If a member doesn't train for at least 60 days or 2 monthly payment cycles they will be billed for the amount of this sign-up equipment.

Early Termination:

Early termination of your term membership requires 7-day notice using this form. The fee is $85 per membership. Students can rejoin at new updated rates anytime plus a renewal fee of $45. If a member doesn't train for at least 60 days or 2 monthly payment cycles they will be billed $100 for sign-up equipment.

By submitting this form you agree that in the event, the obligation to your 30-day membership is not met and 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. 

We are tracking your computers information as follows:

52.204.17.27

IP  Address: 

52.204.17.27