Freedom Lifestyle & Fitness
UPDATE MY DETAILS FORM
Please fill out the form below and we'll action it as soon as we can.
UPDATE MY DETAILS
Full Name (as currently on file with us)
*
Email
*
Phone
Address
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Name on the Card
*
Card Number
*
Card Expiration Date
*
Card CVC
*
Would you like to change what debit day your membership is on?
Would you like us to re-debit all outstanding failed payments (if any)?
Add your BSB & Account as a backup in case of card issues or failed payments. This will prevent any failed payment fee charges.
BSB
Account Number
Please note anything else you'd like us to know:
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