This form is to be completed in order to pay your monthly fee for karate.
This form should be used if you are unable to set up a standing order or if your standing order is late - this form must be completed whilst your standing order is rectified for the following month.
Surname
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First Name
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White - Orange Belt (13th Kyu - 8th Kyu)
Please select a payment option
January Payment (£50.00 GBP)
February Payment (£50.00 GBP)
March Payment (£50.00 GBP)
April Payment (£50.00 GBP)
May Payment (£50.00 GBP)
June Payment (£50.00 GBP)
July Payment (£50.00 GBP)
August Payment (£50.00 GBP)
SeptemberPayment (£50.00 GBP)
October Payment (£50.00 GBP)
November Payment (£50.00 GBP)
December Payment (£50.00 GBP)
Green - Purple Stripe Belt (7th Kyu - 4th Kyu)
Please select a payment option
January Payment (£55.00 GBP)
February Payment (£55.00 GBP)
March Payment (£55.00 GBP)
April Payment (£55.00 GBP)
May Payment (£55.00 GBP)
June Payment (£55.00 GBP)
July Payment (£55.00 GBP)
August Payment (£55.00 GBP)
SeptemberPayment (£55.00 GBP)
October Payment (£55.00 GBP)
November Payment (£55.00 GBP)
December Payment (£55.00 GBP)
Brown - Black Belt Junior 1st Dan (3rd Kyu - 1st Dan)
Please select a payment option
January Payment (£65.00 GBP)
February Payment (£65.00 GBP)
March Payment (£65.00 GBP)
April Payment (£65.00 GBP)
May Payment (£65.00 GBP)
June Payment (£65.00 GBP)
July Payment (£65.00 GBP)
August Payment (£65.00 GBP)
SeptemberPayment (£65.00 GBP)
October Payment (£65.00 GBP)
November Payment (£65.00 GBP)
December Payment (£65.00 GBP)
If you made payment but standing order was late, please pay the additional fee due this month
Please select a payment option
January Payment (£5.00 GBP)
February Payment (£5.00 GBP)
March Payment (£5.00 GBP)
April Payment (£5.00 GBP)
May Payment (£5.00 GBP)
June Payment (£5.00 GBP)
July Payment (£5.00 GBP)
August Payment (£5.00 GBP)
SeptemberPayment (£5.00 GBP)
October Payment (£5.00 GBP)
November Payment (£5.00 GBP)
December Payment (£5.00 GBP)
Membership Terms & Conditions
All monthly payments must be made on the 1st of the month and before the first lesson of karate at the start of the month
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I agree
It is your responsibility to check for lesson updates and time changes plus Course and Competition updates on JHKA.CO.UK or on closed facebook group 'JHKA Karate'
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I agree
You must give at least 1 month notice and 1 month payment should you wish to terminate membership with JHKA
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I agree
You accept that payments are based on 12 monthly payments for 46 weeks of Karate training. This includes August and December payments
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I agree
Consent Form
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I agree with the above and wish to proceed
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