Kingman Riot Mixed Marital Arts

Payment Terms / Conditions / Agreements:

• Membership fees are paid in advance of services and are non-refundable.
• Membership will be automatically renewed each month unless written notification of cancellation is received 30 days prior to billing date (No exceptions)
• Membership fees are to be paid no later than their monthly billing date and are automatically electronically charged to the authorized payment method listed on this form each month on the billing date.
• There is a $10 late penalty for any payment that is rejected due to insufficient funds, canceled credit cards, expired credit cards and any other reason that may cause an automatic payment to bounce or be rejected. (NO EXEPTIONS)
• Any membership account that is more than 90 days delinquent may be sent to collections without further notice.

I authorize the purchase of services from Kingman Riot Mixed Martial Arts using this payment authorization form. I agree that I will pay for this purchase and indemnify Kingman Riot Mixed Martial Arts against any liability pursuant to this authorization. I understand that my signature on this form will serve as an authorized signature for each automatic payment.

I give Kingman Riot Mixed Martial Arts authorization to use the payment account listed on this form to automatically pay my membership fees each month. I understand that the monthly membership fee payment will be automatically electronically charged to my credit/debit card account until I ask in writing for my membership to be cancelled 30 days prior to the billing date.

By signing this contract, I certify that I understand and agree to all the payment terms and conditions stipulated by Kingman Riot Mixed Martial Arts.