TJ Strydom (Pty) Ltd · Reg 2012/153356/07 · Stratcol client nr 7996/11115235

Membership agreement

Fill this in on your phone or laptop, sign with your finger or mouse, and submit. No printing, no scanning. Your details go straight to K-Fit Midvaal management.

Step 1

Choose your option

All options are month-to-month. Notice periods apply where stated.

Month to MonthR450/moMonth-to-month debit order. One month's written notice required.2 PeopleR750/moMonth-to-month for 2 people on a single debit order. One month's written notice required.One Month OnlyR550/moNo obligation, no commitment, no notice required. Cash/EFT.Per Class / DayR50/classPer class, per day. Cash only.

Please note: until a debit order mandate is received, the cash/EFT amount of R550 p/m applies.

Step 2

Your details

Full name & surname

Postal address

Contact numberEmail addressFees drafted monthly beginning

Step 3

Debit order mandate

Optional — only complete this if you'd like to pay by debit order.

I want to set up a debit order

Account holder name & surnameID number

Account holder postal address

Account holder contact numberAccount holder emailBankBranch codeFilled in automatically.Account numberAccount typeAmount (R)Debit day of the monthBeginning dateAbbreviated name / bank statement referenceHow the debit shows on your bank statement.

Debit order terms & conditions

Stratcol payment collection mandate — please read before agreeing.

I/we hereby authorise STRATCOL to issue and deliver payment instructions to my/our banker for collection against my/our abovementioned account at my/our abovementioned bank.

The individual payment instructions so authorised to be issued, must be issued and delivered according to the abovementioned interval on the date when the obligation in terms of the Agreement is due and the amount of each individual payment instruction may not differ as agreed to in terms of the Agreement.

The payment instructions so authorised to be issued, must carry a number, which number must be included in the said payment instruction and if provided to me/us should enable me/us to identify the agreement on my/our bank statement. The said number should be added to this form on page 1 under client reference number, before the issuing of any payment instruction and communicated to me/us directly after having been completed by me/us.

I/we agree that the first payment instruction will be issued and delivered as per collection instruction.

If however, the date of the payment instruction falls on a non-processing day (weekend or public holiday) I/we agree that the payment instruction may be debited against my/our account on the following or previous business day.

DebiCheck is an authentication process initiated from your bank to authorize the mandate.

Mandate

I/we acknowledge that all payment instructions issued by the Stratcol User shall be treated by my/our abovementioned bank as if the instructions had been issued by me/us personally.

Cancellation

I/we agree that although this authority and mandate may be cancelled by me/us, such cancellation will not cancel the Agreement. I/we also understand that I/we cannot reclaim amounts, which have been withdrawn from my/our account (paid) in terms of this authority and mandate if such amounts were legally owing to the Stratcol User.

Assignment

I/we acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party.

I have read and agree to the debit order terms and conditions above. I authorise STRATCOL to collect the monthly fees from my bank account as agreed.

Step 4

Declarations

Please read each item carefully before you tick it.

I understand that if I have any heart disease, high blood pressure, diabetes or any other medical condition, I must consult my physician before starting any exercise programme, and I will follow the instructions given to me.I declare that I am physically able to take part in exercise, and I train at K-Fit Midvaal entirely at my own risk. I will not hold K-Fit Midvaal, TJ Strydom (Pty) Ltd or its instructors liable for any injury, loss or damage.I accept the membership terms: fees are non-refundable, one calendar month's written notice is required to cancel where applicable, and cancellation notice must be emailed to kfitmidvaal@gmail.com or hand delivered. WhatsApp messages and phone calls are not accepted as notice of cancellation.

Your initialsAs you would initial each page.

Step 5

Sign the agreement

Draw your signature and type your full name to confirm.

Sign here

Use your finger on a phone, or your mouse on a laptop.

Type your full name to confirmTyping your name here has the same effect as signing by hand.

Questions before you sign? WhatsApp us on 066 255 0889.