Coaching Payment Form

Name *

Email *

Phone *

Credit Card Authorization

I authorize, Hypercat, Inc., to charge (auto-bill) my credit card for coaching services per my selected coaching package on a rolling 4-week basis. I understand I will be billed a start-up fee of $195 plus the first 4 week coaching fee upon start-up. I understand my credit card on file will be charged via Square, a secure payment processor and I will receive emailed receipts of payment and notifications related to changes in billing dates etc.

Please select your coaching package or training plan option. * Select...Single Sport - $289 / 4 weeksMultisport - $389 / 4 weeksPre-Built Training PlanCustom Training PlanTeam HypercatThis field is required.

Credit Card Information

Info below will be destroyed after credit card is entered into the payment system.

Name on Card *

Street Address *

City *

State *

Zip Code *

Card Type * Select...American ExpressMastercardVISAThis field is required.

Expiration Date *

Please enter month/year. Ie. 11/22

CVC / Security Code *

Account Number *

Please enter your account number.

Account Number *

Please re-enter your account number.