Member Name:
Membership Number:
Bank Account Holder's Name:
Authorization
I/We hereby authorize Jeon Eui Taekwondo to direct my Financial Institution to debit my/our bank account, on file, as follows:
- Membership withdrawal date on reflect the pro-rated membership of the month.
- Monthly Membership Fees will be withdrawn on the 1st day of each month.
- May be cancelled upon 15 days of written notice by me/us being provided to Jeon Eui Taekwondo.
- If any payment is returned by the Bank for any reason, I/we will be responsible for Non-Sufficient Funds (NSF) and/or administration charges.
- We acknowledge that the amounts to be drawn against our Account may vary in accordance with the membership type and condition in the amounts billed Jeon Eui Taekwondo.
I/We, the undersigned, have read, understood, and agree to the terms and conditions of this agreement.
