This agreement is between 5 Points Yoga and (required):
Your Email (required)
Agreement Start Date (required)
Agreement End Date (required)
I am purchasing the autopay item, as an automatic charge to my credit or debit card for the selected term.
4 month membership12 month membership
Autopay Amount (required):
a) I hereby certify that I am the holder of the credit card.
b) I understand that I will be notified if my credit card payment fails to authorize for any reason, and that a $10 late fee will apply if I do not provide valid credit card information within 10 calendar days of the original rejection date.
c) Limited memberships include attendance of up to 5 classes a month and cannot be shared or transferred
d) 4 and 12-month agreements are not eligible for suspension under any circumstance (exceptions include major medical or relocation)
e) Agreement cancellation requires $250 Early Termination Fee.
f) This offer is auto-renewing upon the completion of the ________month agreement. In order to cancel auto-renew of agreement for 2nd term, please complete cancellation form (can be found on website) 30 days prior to auto-renew
g) Membership registration and cancellation cannot occur on the same day.
Please Enter Your Full Name to Agree (required)
Your Full Name (required)