Austin T3 - Team Triathlon Training                  

                 2010 Membership Application                         

 
     
 


Personal Information:

Last Name
First Name
Address 1
Address 2
City
State
Zip
Phone
E-mail
   
   
Gender Female       Male
Birth Date mm/dd/yyyy

 

  
      
 
Triathlon Background:
 
How many years in triathlon?
How many races have you completed ?
What is your upcoming race?
How did you hear about T3
Were you referred by someone?

Austin T3 Coaching Staff needs to know:

What are your expectations from the program and the coaching staff?
What would you like to achieve under the T3 Training Programs?
 
     
  Check the type of monthly membership you would like to train:

** All plans are billed monthly.   You may receive a 15% discount if you would like
pay up-front for the entire year or 10% if you pay up-front for six months. 

Contact the coaching staff at 512-899-2482

Tri Club          $   15.00  
        Tri Club is included with the following  
One Sport        $ 100.00     Plus Core Fusion & Yoga      $ 140.00  
Two Sport        $ 125.00     Plus Core  Fusion & Yoga     $ 165.00
Three Sport      $ 150.00     Plus Core Fusion & Yoga      $ 175.00
           
Yoga Only        $  50.00  

I would like to start my membership on this date: mm/dd/yy

Payment Information:

You have the option for membership payment of Credit Card billing or Bank Draft.

Please fill out one form of payment only.

Bank Draft:

Name on the Account:       
Bank Name:
(Date to be drafted) 1st    (You will be pro-rated to the 1st of the month)
Routing Number:      
Account Number: 

                  

Credit Card Draft:                                                                                       

Name on the Credit Card:
Type of Card
(Date to be drafted) 1st    (You will be pro-rated to the 1st of the month)
Account Number:      
Expiration Date:   Month   Year   
CW2    (3 digit code on the back)

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Austin T3- Team Triathlon Training Payment Authorization

Membership with the Austin T3 – Team Triathlon Training club is nontransferable and nonrefundable. It is to my complete understanding that if I wish to terminate or change my membership in any way, I must give the Austin T3 - COACHING STAFF a fifteen (15) day written notice or email prior to my next billing date. I understand that if I participate in a practice once I have terminated my membership, I will get an additional bill for the complete month of training.

The Austin T3 – Team Triathlon Training Programs and Clinics do not anticipate changes in fees or rates, but may adjust the monthly rates applicable to different program categories. The member will receive a four-week notice prior to any such change. Should any member debt not be honored by the member's bank or credit card Company for any reason, the member is still responsible for that payment plus a service charge applied by Austin T3 – Team Triathlon Training Programs and Clinics. This is in addition to any service fee the member's bank or Credit Card Company may charge. The membership is subject to termination if
he debt is not paid.

This agreement serves as authorization for continuous billing of monthly membership fees and/or program fees, merchandise sales, and service fees including, but not limited to, returned draft and overdraft fees.

The Austin T3 membership is on a month to month basis.  Austin T3 may put training dues on a ‘Freeze’ for the duration of no longer than thirty (30) days in case of a family emergency, injury or loss of employment.  Please contact staff if there is an issue they may need to consider for freeze in membership.

         Please initial to agree with the terms and conditions for the Austin T3 Membership Application.