Shori-Kai Karate - Subscribe for Temporary Membership with upgrade option to Lifetime Membership

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Please enter information on the form below to process subscription for Temporary Membership with upgrade option to Lifetime Membership.

First name *

Last name *

Which dojo do you wish to attend?

Name of student if different from above

Date of Birth *

Address *

Address 2

City *

Post Code *

Phone *

Email *

Please tell us if there are any health issues that we need to know about, including medication or specific requirements?

Emergency contact details if different from above. Name and Phone

Payment Terms

Free for the first 28 days
Then a single payment of £30.00 to upgrade to lifetime membership should you wish to continue.

Trial Duration Price

Trial Duration Discount

Trial Tax Amount

Trial payment fee

Gross Trial Duration Price

Lifetime membership price after 28 days if you wish to continue

Regular subscription discount amount

Regular subscription tax

Payment Fee

Regular gross amount

Payment Method

Pay in class after 28 days if membership required.

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

I accept

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