Kineasy Intro Course – Payment Plan Agreement

Name:*
Address:*
Mobile Number:*
E-mail Address:*
Course requiring Payment Plan?:*
Course Enrolment Order Number (from email confirmation):*
Course Training Dates:*
Total Course Fee*
Payment Plan Payment Schedule: (Tick all boxes to confirm and agree to payment amounts and dates)*
Payment Plan Terms and Conditions: (Tick box on far right at end to confirm acceptance)*
Cancellation Policy:*
Any other comments or additional information:
By submitting this form, I hereby agree to the above Payments, Terms, Conditions and Cancellation Policy and understand this is a legally binding Payment Plan Agreement between myself (as the student) and By The Bay Kinesiology. Signed and Agreed By: (Enter Your Full Name)*
Today's Date:*
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