Skip to content
Malaga:
0420 836 476
Ellenbrook:
0420 836 476
Facebook-f
Instagram
Youtube
About
Our Story
Our Team
FAQs
Martial Arts Programs
Kids Martial Arts
Kids BJJ
Kids Capoeira
Adults Martial Arts
Adults BJJ
Adults Capoeira
FIFO
Adults Muay Thai
Champions
Membership
Timetable
Timetable Malaga
Timetable Ellenbrook
Shop
Contact
About
Our Story
Our Team
FAQs
Martial Arts Programs
Kids Martial Arts
Kids BJJ
Kids Capoeira
Adults Martial Arts
Adults BJJ
Adults Capoeira
FIFO
Adults Muay Thai
Champions
Membership
Timetable
Timetable Malaga
Timetable Ellenbrook
Shop
Contact
Free Trial
$
0.00
0
Cart
PMC Membership Payment Update – EzyPay Authorization
We’re upgrading our payment system to EzyPay, making memberships simpler, more secure, and more affordable for our PMC community. This update allows us to reduce fees while improving the way memberships are managed and we’re passing those savings directly on to you. Important: To keep your current membership price, this form must be completed before 30 January. Members who do not transition by this date will move to the new membership pricing structure once payments are updated. Completing this form authorises Perth Martial Arts Centre to securely transfer your membership payment details from Success to EzyPay.
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Account Holder's Details
Account Holder Full Name
*
First
Last
Email
*
Phone
*
Authorization Signature Membership
Membership Details
Number of Memberships Paid Under This Account
*
1
2
3
4
Member 1 - Name
*
Member 1 - Membership Type
*
Adults
Kids
Fifo
Other
Please Specify Membership Type
*
Member 2 - Name
*
Member 2 - Membership Type
*
Adults
Kids
Fifo
Other
Please Specify Membership Type
*
Member 3 - Name
*
Member 3 - Membership Type
*
Adults
Kids
Fifo
Other
Please Specify Membership Type
*
Member 4 - Name
*
Member 4 - Membership Type
*
Adults
Kids
Fifo
Other
Please Specify Membership Type
*
Payment Frequency
*
Weekly
Fortnightly
Monthly
Annually
Current Subscription Amount
*
e.g. $120, $1,200
Payment Details
Your bank details are securely collected and used only to set up your Ezypay membership payments.
Ezypay Processing Fees
Bank Transfer:
$0.72
Failed Payment Fee:
$3.85
* Failed payment fee applies if payment is declined.
Bank Name
*
Account Name
*
BSB
*
Account Number
*
Authorization & Consent
Direct Debit & Transfer Authorisation
*
I authorise Perth Martial Arts Centre to set up my membership payments through EzyPay using the details provided.
By submitting this form, I authorise Perth Martial Arts Centre to: Transfer my membership payment details from Success to EzyPay - Set up direct debit payments using the bank details provided - Debit membership fees in accordance with my membership agreement. I confirm that I am the authorised account holder or have authority to provide these details.
EzyPay Authorisation
*
I agree to the Ezypay terms and conditions
Please find here the
Ezypay Terms & Conditions
Signature
Clear Signature
Submit
×
×
Cart
TRY YOUR FIRST CLASS WITH US FOR FREE
Fill in the form below to register for your free class and one of our team members will be in touch!
Book Now Ellenbrook
Book Now Malaga