Membership Change

Submit this form 2 DAYS BEFORE YOUR NEXT SCHEDULED PAYMENT other wise you will be charged for the next week.

• Student Student First Name

  Student Student Last Name
  

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  Make Required
• Student Email Address associated with your Spark Account / membership
  

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  Make Required
• Mobile Phone
  

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  Make Required
• Please change my membership from (your existing membership) ?

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  Make Required
  
• To this new membership:

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  Make Required
  
• Change my memberhsip on this date (DD/MM/YYYY)

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  Make Required
  
• I would like to pay for this by ? (Note: week to week payments require a card so they can be automatically charged)

  Charge my existing payment method in sparkEmail me an invoice and i will pay itI will pay at reception with card (only for 1 off payments)I will pay at reception with cash (only for 1 off payments).
  

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  Make Required
  

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