Transfitnation Change Request Form - Transfitnation | Online Personal Training Studio

Client Name: *

First

Last

Today's Date: *

Type of Request *

Freeze: Freeze the recurring payment agreement for 1-6 payments; Change: Change the package type (i.e. 60-min solo training 2x/week --> 45-min solo training 1x/week); Cancel: Cancel the recurring payment agreement

Current Session Type: *

Select the session type of your current package

Current Session Length *

Select the session length of your current package (for solo/partner training sessions only)

Current Number of Sessions Per Package (Every 4 Weeks) *

Select the number of sessions in your current package (i.e. 8 sessions = training 2x per week).

NEW Session Type: *

Select the session type for your new package

NEW Session Length *

Select the session length of your new package

NEW Number of Sessions Per Package (Every 4 Weeks) *

Select the number of sessions in your new package (i.e. 8 sessions = training 2x per week)

Number of Payments to Freeze *

You can request to freeze up to a maximum of 6 payments.

Freeze Start Date: *

Select the date to start your freeze. Freezing the recurring payment agreement will freeze the agreement for the number for payments selected. Please note that we need to receive this freeze request 15+ days before the next billing date before it goes into effect.

Cancel Date: *

Select the date to cancel of the recurring payment agreement. Cancelling the recurring payment agreement will cancel all recurring payments from the agreement after all payment from the initial term are completed. Please note that we need to receive this freeze request 15+ days before the next billing date before it goes into effect.

Current Payment Method

Enter the Last 4 Digits of The Card on File

Questions, Comments or Feedback?

Your legal name *

First

Last

Your email address *

Acknowledgment *

I agree to the following statement: By submitting this change request form, I acknowledge that this request is subject to the Terms and Conditions listed in both the Recurring Payment Agreement and the Personal Training Agreement. If there is a payment scheduled within the next 15 days of submitting this request, that payment will be charged to the payment method on file and this request will be applied to the following scheduled payment. Once my request is processed, I will receive a confirmation email from Transfitnation with more information. I agree that I am the legal name listed above and I agree that this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature. By clicking on "Sign & Submit" I am legally signing this change request form.

Signature *