Membership Agreement

Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number

Please enter a valid phone number. (NOTE: We will be texing this number we keep on file to text you)

BANKING INFORMATION:

I/We here by request in person the privilege of Royse City Fitness LLC ("the Company) and further authorize the Company to draw items (checks, electronic fund transfers, credit card or debit card) for the purpose of paying said payments as stated in this agreement including any late fee's, service fee's, or increase of monthly dues on the accounts listed in this agreement.

Name On Bank Account

First NameLast Name

Bank Routing #

Bank Account #

Name of Bank

Checking Savings

DEFAULT AND LATE PAYMENTS: Should you default on any payment obligation as called for in this agreement, the club will have the right to declare any remaining balance due and payable and you agree to pay allowable interest, and all cost of collection, including but not limited to collection agency fees, court costs, and attorney fees. A default occurs when any payment due under this agreement is paid late. Should any monthly payment become past due, you will be charged a late fee. An additional service fee will be assessed for any check, draft, credit card or order returned for insufficient funds or any other reason. If the member is paying monthly dues by electronic funds transfer (EFT), the club reserves the right to draft via EFT all amounts owed by the member including any and all late fees and service fees. Subject to State and Federal law. NOTE: Members paying monthly dues by EFT are subject to an additional $5.00 per month increase of monthly dues per membership if EFT payment has a stopped payment or returned for insufficient funds. This will not effect any other provisions in this agreement. Payment drafts will be conducted on the 1st & 15th of each month. The first years annual enrollment fee’s will be paid upon sign up and each year the annual enrollment fee(s) will be drafted from the account provided by the member on or about the original sign up dates yearly anniversary and is non refundable. I/We here by request the privilege of Royse City Fitness LLC (“the Company) and further authorize the Company to draw items (checks, electronic fund transfers, credit card, debit card) for the purpose of paying said payments as stated in this agreement, including any late fee’s, service fee’s, or increase of monthly dues on the accounts in this agreement.

Subject to the fallowing conditions: The monthly dues shall be drawn on or about the dates of the payment schedule. The transaction on your bank statement will constitute as a receipts for payment on your account. The privilege of making payments under this agreement may be revoked by Royse City Fitness LLC if any dues are not paid upon presentation. A service fee will be accessed and drafted for any check, draft, credit card or debit card, or electronic fund transfer returned for insufficient funds or any other reason. This preauthorization payment arrangement shall apply to the following Applicants:

CREDIT CARD INFORMATION: (please note: there is an additional $3.50 monthly fee added to your dues if you choose to use a credit card vs your checking account) If you are wishing to pay by credit card please complete this form and bring the credit card you are wanting to use to the facility for a staff member to assist you during our staffed hours in setting up your reoccurring monthly payments via credit card. Your door code will not be reinstated or your membership reactivated without having a credit card payment method added to your account if your account is past due. If you have already added your checking account above to this form this will not be necessary. This is Only needed if you are wishing to make your monthly membership dues with a debit or 💳 credit card or need to change your current credit card on file to a new card.

I authorize Royse City Fitness to change my billing informaition to what has been provided in this form. This does not change any terms in my origional agreemnt with Royse City Fitness, it simply changes the billing information and gives them the right to bill my account monthly according to the terms of the origional aggreement.

Initial Here*

Date*

Date

Membership Account Information Update