AGENCY by Profitable Pilates

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Please Select a Plan(Required)

AGENCY Membership - Teaser

$48.00 / week

or $50.53 / week when paying by card

12 payments

Total Payment
$576.05

AGENCY Membership - Annual

$192.04 / week

or $202.15 / week when paying by card

12 payments

Total Payment
$2,304.45

AGENCY Membership - Pro

$336.02 / week

or $353.71 / week when paying by card

12 payments

Total Payment
$4,032.25

Full Name(Required)

First Name Last Name

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Address(Required)

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Are you considered a U.S. Person?(Required)

Please select 'Yes' if you are a U.S. Citizen or Permanent Resident with a Social Security Number.

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Social Security Number(Required)

{credit_pull_agreement}

Credit Pull Consent(Required)

By checking this box you acknowledge that you have read and agree to the terms and conditions above.

Bank Statements(Required)

Copies of your last 3 months bank statements are required for underwriting purposes. Please upload one file for each month.

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Accepted file types: pdf, jpg, jpeg, gif, png, Max. file size: 10 MB, Max. files: 3.

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{servicing_agreement}

SIGNED BY CLIENT(Required)

{partner_name}
{partner_business}

Date: 09/24/2023

Please read the following terms and conditions.

SCHEDULE A

Agree to Sign(Required)

By checking this box you confirm you have read and agree to the above terms and your digital signature will be applied to them.

Payment Method(Required)

ACH / Bank Transfer

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Recurring ACH Payment Authorization

I hereby authorize the Company named Abundant Servicing LLC ("Abundant Servicing", "myAbundant"), to initiate debit and credit entries to my account indicated below and the bank named below, hereinafter "Banking Institution", to debit or credit the same to such account. I further authorize the Company to debit said account up to the amount of the outstanding balance plus fees and costs or for such amount allowed by law in the event a debit entry is rejected by the Banking Institution.

Bank Name:
Routing Number:
Account Number:

This authority is to remain in full force and effect until Abundant Servicing has received written notification of its termination in such time, but no less than 10 business days before any payments are due to be made, and in such manner as to afford Abundant Servicing and a reasonable opportunity to act on it.

ACH Authorization

By checking this box you confirm you have read and agree to the above terms and your digital signature will be applied to them.

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Credit Card(Required)

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Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

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AGENCY Membership – Payment Plan

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SCHEDULE A

Recurring ACH Payment Authorization

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