Credit Card Authorization

CC Auth Form

Credit Card Authorization
  • Credit Card Authorization

    I hereby authorize that my credit card account, as outlined below, be used for personal training fees, membership fees or other related products or services provided by Bobby Kelly and Results Only, LLC. Shoud I wish to revoke the use of this credit card, I will do so in writting by emailing or faxing a letter to Bobby Kelly and Results Only, LLC. and provide 30 days notice.
  • Acknowledgement

    Terms of Service Here
  • Printing your First Name + Middle Initial + Last Name will act as your digital signature.
  • Results Only, LLC Phone: 602-944-0747