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Authorization Agreement for Membership Recurring Charges

MEMBERSHIP AGREEMENT

I hereby authorize THE BRONZING & SUGARING STUDIO, to initiate a charge/debit to my Credit Card Account indicated below at the depository financial institution named below and to debit/credit the same to such account. 


This authority is to remain in until client cancels membership contract IN person. All change or cancellation requests must be applied for at the contracting salon, in person. I understand and agree to the following:

 

  1. The initiation and/or membership fee is NOT refundable and NOT transferable. 

  2. That all fees are paid in advance and due on the 1st or the day you sign up of each month . 

  3. That all payments/fees will be charged/debited without notice/receipt from BRONZING & SUGARING STUDIO if you put your card on file. 

  4. BRONZING & SUGARING STUDIO  reserves the right to assign this authorization without notice. 

  5. That all cancellations must be done in person between the 1st and 25th of the last month 

  6. That this is a 6 MMONTH TERM CONTRACT that will Automatically convert to an OPEN-END Contract.

  7. If payment is not paid in 7 days from invoice date, you will not quaify for future membersips pricing. 

I have read, understand, and agree to be bound by the information, terms, and conditions listed above.

Date: December 21, 2024

 

First Client's Name

First Name*

Last Name*

Phone*
First Client's Date of Birth*
First Client's Information

Client #:
Monthly Charge/Debit Amount:*

for at least 12 months.

Frequency of Payments: Monthly 


**Today's Date is:

Cancel by


25th for
First Client's Signature*
Second Client's Name

First Name*

Last Name*
Second Client's Date of Birth*
Second Client's Information

Client #:
Monthly Charge/Debit Amount:*

for at least 12 months.

Frequency of Payments: Monthly 


**Today's Date is:

Cancel by


25th for
Third Client's Name

First Name*

Last Name*
Third Client's Date of Birth*
Third Client's Information

Client #:
Monthly Charge/Debit Amount:*

for at least 12 months.

Frequency of Payments: Monthly 


**Today's Date is:

Cancel by


25th for
Fourth Client's Name

First Name*

Last Name*
Fourth Client's Date of Birth*
Fourth Client's Information

Client #:
Monthly Charge/Debit Amount:*

for at least 12 months.

Frequency of Payments: Monthly 


**Today's Date is:

Cancel by


25th for
Fifth Client's Name

First Name*

Last Name*
Fifth Client's Date of Birth*
Fifth Client's Information

Client #:
Monthly Charge/Debit Amount:*

for at least 12 months.

Frequency of Payments: Monthly 


**Today's Date is:

Cancel by


25th for
Sixth Client's Name

First Name*

Last Name*
Sixth Client's Date of Birth*
Sixth Client's Information

Client #:
Monthly Charge/Debit Amount:*

for at least 12 months.

Frequency of Payments: Monthly 


**Today's Date is:

Cancel by


25th for
Seventh Client's Name

First Name*

Last Name*
Seventh Client's Date of Birth*
Seventh Client's Information

Client #:
Monthly Charge/Debit Amount:*

for at least 12 months.

Frequency of Payments: Monthly 


**Today's Date is:

Cancel by


25th for
Eighth Client's Name

First Name*

Last Name*
Eighth Client's Date of Birth*
Eighth Client's Information

Client #:
Monthly Charge/Debit Amount:*

for at least 12 months.

Frequency of Payments: Monthly 


**Today's Date is:

Cancel by


25th for
Ninth Client's Name

First Name*

Last Name*
Ninth Client's Date of Birth*
Ninth Client's Information

Client #:
Monthly Charge/Debit Amount:*

for at least 12 months.

Frequency of Payments: Monthly 


**Today's Date is:

Cancel by


25th for
Tenth Client's Name

First Name*

Last Name*
Tenth Client's Date of Birth*
Tenth Client's Information

Client #:
Monthly Charge/Debit Amount:*

for at least 12 months.

Frequency of Payments: Monthly 


**Today's Date is:

Cancel by


25th for
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Client #:
Monthly Charge/Debit Amount:*

for at least 12 months.

Frequency of Payments: Monthly 


**Today's Date is:

Cancel by


25th for
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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