top of page

HIITMANN Debit Order Form

Membership Option
Activation Date
Year
Month
Day

To: HIITMANN

Name as Registered with the Bank: HIITMANN

I hereby authorise you to issue and deliver payment instructions to my Banker for collection against my above-mentioned account at my above-mentioned Bank (or any other Bank or branch to which I may transfer my account), on condition that the sum of such payment instructions will never exceed my obligations as agreed to below. This Authority and Mandate will commence on the date selected on this form and will continue until terminated by me, by giving you not less than 20 (twenty) ordinary working days’ written notice.

The individual payment instructions so authorised to be issued must be issued and delivered as follows:

- Monthly, on the 1st (first) of every month.

In the event that the payment day falls on a Sunday, or recognised South African public holiday, the payment day will automatically be the very next ordinary business day. If there are insufficient funds in the nominated account to meet the obligation, HIITMANN is entitled to track my account and present the instruction for payment as soon as sufficient funds are available in my account.

I understand that the withdrawals hereby authorised will be processed through a computerised system provided by the South African Banks. I also understand that details of each withdrawal will be printed on my Bank statement. Such must contain a number, which must be included in the said payment instruction and if provided to me should enable me to identify this Agreement. This number must be added to this form in Section F before the issuing of any payment instruction. B. Mandate

I acknowledge that all payment instructions issued by you shall be treated by my above-mentioned Bank as if the instructions have been issued by me personally.

I agree to pay any penalty bank charges relating to this debit order instruction.

C. Cancellation

I agree that although this Authority and Mandate may be cancelled by me, such cancellation will not cancel my obligations in terms of my elected Membership package above. I shall not be entitled to any refund of amounts which you have withdrawn while this Authority was in force, if such amounts were legally owing to you.

D. Assignment

I acknowledge that this Authority may be ceded or assigned to a third party if the Membership elected above is ceded to a third party.

Terms and Conditions

  1. I agree that should I wish to cancel my elected Membership package, one (calendar) months’ written notice must be furnished to HIITMANN.

  2. I agree that should the cancellation of my elected package be before the expiry date of the package; I will be liable to HIITMANN for 50% (fifty percent) of the total remaining months outstanding on the package.

  3. I agree that my elected Membership package entitles me to a maximum of only 1 (one) class per day. Should I elect to do a second class in the same day, I agree to pay R120 either by cash, credit card, EFT or by inclusion in my following debit order.

  4. I agree that I will be subject to a fee of R120 for any classes booked and not cancelled within 6 (six) hours before the session, as well as any classes booked that I do not arrive for. I hereby authorize HIITMANN to include the R120 fee per class missed or not cancelled timeously with my following debit order. The first offense, either late cancellation or no- show, will not be charged. This one free late cancel or no-show fee (whichever comes first), will be given per member, per month.

  5. The reversal of this R120 fee is at the sole discretion of management, who will not be unreasonable with the approval thereof.

  6. I agree that only requests to freeze my elected Membership package that are as a result of injury or pregnancy will be considered by HIITMANN and for no other reason. Such requests must be made to HIITMANN via email only and received by the 25th of the month to be considered for the following month. The freezing of the elected package is at the sole discretion of management and will only be placed on hold for 1 (one) full calendar month at a time per individual written request. I agree that I will have to furnish HIITMANN with current and relevant medical documentation should my request to freeze be due to any illness or injury.

  7. I understand that classes are subject to availability and the onus rests on me to ensure that classes are booked timeously.

  8. I understand that classes are non-refundable and non-transferrable.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Signed at:
Year
Month
Day
bottom of page