Moksha Yoga Monthly Membership Application

monthly membership application

contact details

If you are interested in becoming a member please complete this form.

select committment

* minimum 3 month commitment - please complete section below

* if not paying monthly, must be paid in full to receive discount

agreement & payment applies only to memberships paid monthly

I hereby authorize Moksha Yoga Center, Inc to debit my account indicated below on a monthly basis. I agree to a minimum 3-month membership at a rate of $108/month or $140/month for Mysore classes. This authority is to remain in effect until I submit to Moksha Yoga Center, Inc. written notification of it's termination. I Understand a minimum of 30 days notice by email/in-writing is required to terminate this agreement. I understand the unlimited monthly membership is valid for classes only and does not include special events, workships, kirtans or retreats. I also understand that this membership is non-transferable and non-refundable.

Memberships are processed the 1st or 15th of each month, and are pro-rated $5 each day before your first month's payment. On which day of each month would you like the automatic charge to occur?