Karate

AFTER SCHOOL KARATE ACADEMY
Name
Date
Address
Home Phone
Business Phone
Driver's Lic.
Credit Card Preference: Major Credit Card
Account #
Exp. Date
This contract covers your purchase of a(n) For use bt the member named and described below. Throughout this contract, you and your mean the buyer or member, as the context requires We, our, and us mean Alpha & Omega Karate Academy, Inc., T/A After School Karate Academy the creditor. If we ever transfer this contract to anyone else, we, our, and us will then mean that person or

Membership Information

Name
MF
Date of Birth

Name
MF
Date of Birth

Name
MF
Date of Birth

Membership Fee $
In case of emergency contact:
Features of your membership
Schools and Days available: your membership entitles the member to use the following schools and services on the days indicated (except for days we're closed)
Transferable to a non-membership(upon consent with credit approval, Master Club membership only)Non transferableTae Kwon DoMuay ThaiKick Boxing
Length of membership
Your membership will:
times a week beginning

and end
months after that date or
belt level whichever comes first.

PAYMENT OPTION SELECTED

Monthly Fee

Monthly

$20 Late fee if not paid by due date

Auto CheckCharge

Monthly

VisaMCDiscoverAMEX

Acc.#

Exp.date

Pre-payment

Total

Payment Plan

Total Amount
Down Payment
Total payment

Your payment Schedule will be:
Number of Payments
Amount of Payments
When payments are dueWeeklyMonthly

NOTICE: By signing below, you certify that you have received a completed copy of this contract and the rules and regulations.

Signature: