Play Pilates Membership Change

Play Pilates: Change of Membership

Thank you for using our service. To action your membership change please complete all the fields in the form below. We really appreciate any feedback you can offer on what we can do to further improve our services in the future!
Name*

First NameLast Name
Contact Email*
Make sure this is the same one you use for your studio login
Phone Number*
Type of Membership Change*

Pause / Suspend MembershipUnpause / Recommence My MembershipChange Personal Details
Change Name

First NameLast Name
Change Email
example@example.com
Change Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
**We'll need to update your credit card details over the phone**

Please contact us on 0422 889 279 to update your details
Account Holder Name

First NameLast Name
Financial Institution
BSB
Account Number
Authorisation

I/We authorise Ezidebit Pty Ltd ACN 096 902 813 to debit my/our account at the Financial Institution identified above through the Bulk Electronic Clearing System (BECS) in accordance with the Debit Arrangement stated above and this Direct Debit Request and as per the Ezidebit DDR Service Agreement (Ver 1.9) provided.
Change Autopay Schedule -This will take into effect from your next due payment. Pro Rata dues may apply.

WeeklyFortnightlyMonthly
NOTE: Please refer to the membership Terms & Conditions.
NOTE: Please allow a minimum of 48 hours for your change to be processed
NOTE: Please ensure your membership suspension reflects the terms of your membership option.

We require a minimum of 7 days notice for your suspension to take effect. Suspension allowances depend on your membership type.
Reason for Suspension

HolidayInjury / IllnessFinancialNo TimeTravel for WorkOther
Membership Suspension Start Date (note: must be at least 7 days from today)

DayMonthYear
Date
Suspension End Date (note: must be a Sunday)

DayMonthYear
Date
Number of Weeks
On What Date Do You Want to Recommence Your Membership?*

DayMonthYear
Date
Do you have any questions / comments / feedback for us?
I hearby certify that I wish to action the following changes to my membership with my studio.
Signature*
Should be Empty:

Play Pilates: Change of Membership