Please fill in the whole form including official use box using a ball point pen and send it to ODFC Fitness Arch 4 King Edward Bridge Newcastle upon Tyne Tyne & Wear NE1 3TQ Instruction to your Bank or Building Society to pay by Direct Debit Bank / Building society account number 6 9 7 7 1 0 FOR PSL re Outdoor Fitness Company OFFICIAL USE ONLY This is not part of the instruction to your Bank or Building Society. IMPORTANT PLEASE COMPLETE THESE DETAILS Name(s) of account holder(s) Acount Holders Name : Acount Holders Address Bank / Building society account number Postcode Branch sort code Acount Holders email address Name and full postal address of your bank or building society To: The Manager Bank / Building Society INSTRUCTION TO YOUR BANK OR BUILDING SOCIETY Please pay PSL re Outdoor Fitness Company Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with PSL re Outdoor Fitness Company and, if so, details will be passed electronoically to my bank / building society. Address Signature(s) Post Code Reference Date . Bank and Building Societies may not accept DIrect Debit instructions for some types of account. This guarantee should be detached and retained by the payer The Direct Debit Guarantee • • • • This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits If there are changes to the amount, date or frequency of your Direct Debit PSL re Outdoor Fitness Company will notify you FIVE working days in advance of your account being debited or as otherwise agreed. If you request PSL re Outdoor Fitness Company to collect a payment, confirmation of the amount and date will be given to you at the time of request. If an error is made in the payment of your DIrect Debit, by PSL re Outdoor Fitness Company or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. – If you receive a refund you are not entitled to, you must pay it back when PSL re Outdoor Fitness Company asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us. © The Outdoor Fitness Company 2011 FOR OFFICE USE ONLY INSTRUCTOR LOCATION DATE FIRST MONTHS PAYMENT TAKEN CORPORATE ID TAKEN / SEEN DIRECT DEBIT SET UP Dear ODFC Trialist, Thank you for taking advantage of our complimentary trial with ODFC Fitness, we hope you enjoyed the experience and found it rewarding and challenging. We’d love to see you on a more regular basis and hope you feel the same. If so please follow the steps below and we will see you at another session very soon. Step One: MEMBERSHIP OPTION ☐ REGULAR - £45 per month paid via direct debit, attendance of UNLIMITED sessions weekly any location. First month paid in cash. ☐ CORPORATE - £25 first month, then £35 per month paid via direct debit. (NHS, Council, Teachers, Students, Emergency Services & HM Forces) ☐ COUPLES RATE - £80 when paid via direct debit from ONE bank account. ☐ PAY AS YOU GO - £55 for 10 sessions to use in a 4 month period from purchase date Step Two: PAYMENT METHOD • proof of payment, please retain this. • We then take subsequent payments on either the 5th or the 20th of each month, please select which one suits you best. • If you do not wish to pay via direct debit then you can pay via PayPal using our website. • The next session you attend becomes your ODFC membership start date and we will actual direct debit may be slightly elevated due to this reason with it being a full month plus the additional days. • All payments are taken in advance of training Step Three: PERSONAL DETAILS TITLE FORENAME SURNAME ADDRESS POST CODE TELEPHONE NUMBER EMAIL If you have any questions with the above please contact us on [email protected] as we are happy to help, if not we will see you at a training session soon. Best Regards Gary & The ODFC Fitness Team TELEPHONE: 0800 334 5603 EMAIL: [email protected] www.ODFCfitness.com Like us at: ODFCbootcamp