For Enrollment in AutoPay.
Recurring Credit/Debit Card Payment Authorization Form
I authorize the Artistic Gymnastics Institute LLC (AGI) to make recurring charges in the amount designated below to my Credit/Debit Card listed below, and if necessary, to initiate adjustments for any transactions credited or debited in error. This authority will remain in effect until AGI has received written or email notification to cancel it. Notice must be received by AGI before the last business day prior to the recurring charge date in order to cancel the next payment. Further, I understand that non-attendance, non-participation or weather-related gym closures do not constitute a cancellation or suspension of this authorization nor does it entitle me to a refund, full or partial. Should I dispute a charge through my financial institution this will constitute a breach of contract possibly resulting in, but not limited to, penalties, additional fees, collection, legal action, and/or termination of any and/or all current and future services.