Welcome to the KAL’s online sign up portal. We look forward to helping you on your journey to a healthier lifestyle. Please note that only customers over the age of 18 can use this portal. If you are under 18, to sign up please visit our reception with an adult who will accept responsibility for you and your membership contractual payments with KAL. 

Preferred Venue

Personal Details
Title *
First Name *
Last Name *
Date of Birth *




Address & Contact Details
Company Name
(if applicable)
House Name/Number *
Postcode *
Telephone *
Mobile Phone *
(if not available please repeat first telephone number here)
E-mail *
Confirm E-mail *
  We may wish to send you marketing information from time to time, please check here if you agree.


Bank Details
Account Holders Name *
Bank Account Number *
Bank Sort Code * - -
Please confirm you are the account holder and you are the only person required to authorise direct debits from this account. However if you're not the account holder please do not tick the box and click Next and you will be given the option to print a Paper DDI. *

Customer Name
Date of Birth 01/01/1970
Address
Telephone
Mobile Phone
E-mail
Promo Code
Unique Reference No
Bank Account Name
Bank Account Number
Bank Sort Code --
Chosen Plan
Minimum Term Month (Non Cancellable in this period)

First Direct Debit on 01/01/1970
First Full Payment £0.00
First Direct Debit Total £0.00

The name that will appear on your bank statement will be Kirklees Active Leisure

Collecting Agent: Debit Finance Collections Plc, PO Box 6046, Milton Keynes MK1 9BA Telephone:

E-mail: [email protected] (All enquiries concerning payments should be made to this address)

Company Registration No. 3422873




Direct Debit Instruction

Kirklees Active Leisure
Kirklees Active Leisure Head Office
Stadium Business & Leisure Complex
Stadium Way
Huddersfield
Yorkshire HD1 6PG


Direct Debit
Instruction to your
Bank or Building Society
to pay by Direct Debit
Name(s) of Account Holders(s)
Bank/Building Society account number
Branch Sort Code
--
Name and full address of your Bank or Building Society
To The Manager       Bank/Building Society


Address
Postcode
Service User Number
411731
Reference
7000
Instruction to your Bank or Building Society
Please pay Kirklees Active Leisure Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Kirklees Active Leisure and, if so, details will be passed electronically to my Bank/Building Society.


Date


23/10/2017
Banks and Building Societies may not accept Direct Debit Instructions for some types of account

Direct Debit

The Direct Debit Guarantee


  • This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.

  • If there are any changes to the amount, date or frequency of your Direct Debit, Kirklees Active Leisure will notify you 5 working days in advance of your account being debited or as otherwise agreed. If you request Kirklees Active Leisure to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

  • If an error is made in the payment of your Direct Debit, by Kirklees Active Leisure or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society.

    - If you receive a refund you are not entitled to, you must pay it back when Kirklees Active Leisure asks you to.

  • You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.


Please Print Off and retain for your records.

Please read the Terms and Conditions

I have read the terms and conditions above and agree to them. *



Please click Next only once, it may take up to one minute for confirmation of your Payment to appear.