OT BEAT BURN PURCHASE ORDER FORM ( $119 + Tax )

As payment for the OTbeat Burn, I hereby authorize Bella Terra,

Huntington Beach Orangetheory® Fitness, an independently owned and
operated Orangetheory® Fitness franchised location (“OT”), to charge
the card specified below in the amount of $42.84 plus applicable tax on:
(___/___/___), (___/___/___), and (___/___/___). If the noted
TODAY

payment date(s) fall on a weekend or holiday, I understand that the

payment may be charged on the next business day.
I agree to notify OT promptly of any changes in my method of payment.
I understand that if I fail to satisfy a payment specified above, OT may
require immediate payment of the total outstanding balance for the
OTbeat Burn and may engage in collection efforts to collect such
payment.
I understand that there are no financing charges associated with this
purchase. I also understand that neither OTF Franchisor, LLC or OTF
Royalties, LLC, the entity or entities who granted OT contractual
authority to independently own and operate this franchised location,
nor any of their past, present, or future affiliates or subsidiaries, or their
respective officers, directors, incorporators, members, partners, owners,
agents, management, controlling parties, entities under common
control, vendors, service providers, investors, attorneys, employees, or
representatives (collectively referred to as the “Franchisor”) is a party to
this agreement. I understand and agree that the Franchisor is not
responsible for any acts or omissions related in any way to this
Agreement.

Payment Method: Visa / MC / Amex / Disc Credit Card ending in: __________________

X__________________________________ X____________________________________

OTF STAFF INITIALS Last Updated: October 4, 2021

 (Print) (Sign)

OT BEAT CORE PURCHASE ORDER FORM ( $79 + Tax )

As payment for the OTbeat Core, I hereby authorize Bella Terra,
Huntington Beach Orangetheory® Fitness, an independently owned and
operated Orangetheory® Fitness franchised location (“OT”), to charge
the card specified below in the amount of $42.66 plus applicable tax on:
(___/___/___) and (___/___/___). If the noted payment date(s) fall
TODAY

on a weekend or holiday, I understand that the payment may be

charged on the next business day.
I agree to notify OT promptly of any changes in my method of payment.
I understand that if I fail to satisfy a payment specified above, OT may
require immediate payment of the total outstanding balance for the
OTbeat Burn and may engage in collection efforts to collect such
payment.
I understand that there are no financing charges associated with this
purchase. I also understand that neither OTF Franchisor, LLC or OTF
Royalties, LLC, the entity or entities who granted OT contractual
authority to independently own and operate this franchised location,
nor any of their past, present, or future affiliates or subsidiaries, or their
respective officers, directors, incorporators, members, partners, owners,
agents, management, controlling parties, entities under common
control, vendors, service providers, investors, attorneys, employees, or
representatives (collectively referred to as the “Franchisor”) is a party to
this agreement. I understand and agree that the Franchisor is not
responsible for any acts or omissions related in any way to this
Agreement.

Payment Method: Visa / MC / Amex / Disc Credit Card ending in: __________________

X__________________________________ X____________________________________

OTF STAFF INITIALS Last Updated: October 4, 2021

 (Print) (Sign)

OTF STAFF INITIALS Last Updated: October 4, 2021