MEMBERSHIP AGREEMENT - ADDENDUM

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of sex or marital status. The agency that administers compliance with this law is the Federal Trade Commission, Equal Credit Opportunity, Washington, D.C. 20580.

NEW EFT BILLING INFORMATION

As a convenience to me, I authorize my Bank to make payment to Krav Maga Worldwide including monthly dues, late fees and any past due amounts. I agree that the treatment of such payment shall be the same as if it were signed personally by me.

MEMBER(S) NAME (Please list all memberships, FIRST and LAST name, being updated) * 🛈

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NEW BILLING METHOD *

CARD TYPE *

NAME ON CARD *

CARD NUMBER *

EXPIRATION DATE (MM/YY) *

CVV2 / CVC *

NAME ON ACCOUNT *

BANK NAME *

ROUTING # *

ACCOUNT # *

BILLING ADDRESS LINE 1 *

BILLING ADDRESS LINE 2

CITY *

STATE *

ZIP CODE *

BUYER PHONE NUMBER *

BUYER EMAIL ADDRESS * 🛈

PLEASE READ THE FOLLOWING AND CHECK BOX BELOW BEFORE SIGNING: *

I understand that I am in full control of my account(s) and I may cancel my EFT authorization by written notification to Krav Maga Worldwide at the address below. I understand that cancellation of EFT authorization in no way relieves me of my obligation to fulfill all contractual obligations.

ACCOUNT HOLDER SIGNATURE *

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Krav Maga Worldwide ▾ 15233 Ventura Blvd. #100 ▾ Sherman Oaks, CA 91403 ▾ 800.KRAV.MAGA