Direct Debit Request

Please select which coaching/membership package you are setting up for Direct Debit and complete the information provided.

Direct Debits for the Month of June and July will be offered a 25% thank you discount as outlined below:
Per4mance Coaching: $195 for each month of June & July, then will automatically revert back to our new monthly fee of $260/month in July.
Single Discipline Coaching: $150 for each month of June & July, then will automatically revert back to our new monthly fee of $200/month in July.

Information for direct debit form:
1. Please complete your customer information, include your reference as ‘coaching & your surname
2. Direct Debit Arrangement:
+ Once off direct debit – please leave blank
+ Regular debits – amount for your selected coaching will automatically populate, please select start date as 01/06/2020. This amount will remain for June and July and will automatically revert to full paying fees in July as stated above.
+ Complete your bank account details for your direct debit. Fee of .99c per transaction for bank account.
NB: Please ensure sufficient funds are in your account on or before processing date as a failed payment fee of $14.80 will apply. Note this has been waived for the month of May, which is why no fee shows on the form.
Please read terms and conditions in direct debit form and those of CPC below prior to agreeing and submitting your form.

Any questions please let me know.

Terms & Conditions:
– The above prices are subject to change. If an athlete ceases / cancels a service and wishes to re-join at a later date, the athlete shall resume at the current program/ coaching price as listed on the website.
– Payment is via direct debit through our nominated direct debit provider
– Direct debit is deducted on or before the 1st of each month in advance
– Minimum of 12 weeks commitment is required when signing up
– If an athlete wishes to suspend their membership, they can do so by dropping down to our supporting membership $20/mth.
– If an athlete chooses to cancel their coaching/membership fully, a minimum of 2 weeks notice is required in writing to cancel programming and direct debit
– Direct Debit Terms and conditions are contained in the above direct debit request forms