Wellness Program Enrollment

Join The Wellness Program

To enroll in the Wellness Program, please complete all questions.
Full Name *

First Name Last Name
E-mail *
Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Program Option *
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Balance - 60 Minute Monthly Massage $ 95.00

Enhance - 90 Minute Monthly Massage $ 130.00
Enrollment Rules

Please read and select that you understand.
Enrollment Rules:
1. Enrolling member must be 18 years of age or older.
2. Must have a valid email address and credit card to have on file for monthly payments.
3. Only one member per enrollment. Additional members must enroll seperately.
*

I have read, understood, and accepted the rules for membership.
Payment Agreement

Please read and select that you understand.
Payment Agreements:

By enrolling in the Wellness Program, you are:
- Granting Courtney Truax, LMT to email you an invoice for your program option to be paid on the 25th of the prior month of enrollment. (ie. June 25th bill for July enrollment).
- Providing a valid credit card to have on file for future automatic payments to be collected on the 25th of each month.
- Agreeing to give a written 14 day advanced notice of cancellation or changing program enrollment options.
*

I have read, understood, and accepted the Payment Policy for enrolling in the Wellness Program.
After you submit for enrollment, you will be sent an invoice to your listed email address shortly.

Once you have made payment and provided a valid credit card to be stored on file, you will be ready to come in for your massages starting the 1st of the upcoming month!

Thank you!
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Join The Wellness Program

Enrollment Rules

Payment Agreement