Upgrade/ Downgrade Form

Upgrade/ Downgrade Form

* Applicable for Direct Debit memberships only. Excludes Salary Sacrifice memberships.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
I would like to upgrade or downgrade my membership?*

UpgradeDowngrade
Current Membership Type*

BronzeSilver Bunker/ RejuvenateSilver ReformerGold
Change my membership to...*

BronzeSilver Bunker/ RejuvenateSilver ReformerGold
This change will start from my next debit date on a Friday *

DayMonthYear
I am happy for admin to process my change of membership with my current saved bank details.*

Yes, please use my current bank details if saved in my profile.No, I will need to change my bank details- (admin will contact you once they receive this form)
Any additional notes
Signature*
Should be Empty: