membership agreement

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Email *

Phone number *

Student full name(s) *

Billing address *

City *

State *

Zip code *

I am interested in the following: *

“3 months/free gi” promotion and recurring monthly classes thereafter at $155 per month (for the first member of your family/household) and/or $110 per month (for the second or third or fourth member of your family/household).

Recurring monthly classes only, at $155/month, because I have my own jiu-jitsu gi already or plan to purchase one separately from granite bay jiu-jitsu (gis cost $120 for children 15 and under and $150 for members 16 or older) and/or $110 per month (for the second or third or fourth member of your family/household).

Other:

Required

Individual's signature *

Date *

YYYY

Payment type *

Debit/credit card

Bank account (ACH)

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