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Add additional family members? Add additional family members? Add 2nd member (25% Discount) Add a 3rd menber (35% Discount)

2nd Participant Name

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3rd Participant Name

3rd Participant Date of Birth (dd/mm/yyyy)

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Referral Code (If you have a referral code or discount voucher)

Account Holder / Payee Name

Account Holder Email

We use GoCardless to securely process direct debit payments. You will be redirected to the GoCardless signup page upon completion of this form. After authorising the Street Motion direct debit mandate with GoCardless, your membership will be active. We use GoCardless to securely process direct debit payments. You will be redirected to the GoCardless signup page upon completion of this form. After authorising the Street Motion direct debit mandate with GoCardless, your membership will be active. I confirm that I am 18 years of age or older and I have read, understood and agree to all the terms and conditions. I understand that all Street Motion memberships are subject to a minimum term contract. (6 months unless stated otherwise)

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Timetable

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Term Dates

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Code of Conduct

Membership T&C

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