• I,_____________________________ authorize Ideal Body Clinic to deduct membership fee of $_______tx the first of every month for the period of ____________________ from the credit card information provided below, or a series of post dated checks that are provided, or the full amount of $________tx that has been prepaid.
  • full name
  • fee chosen
  • Please note that treatments not used in the present month are not able to be transferred to the following month. There is no refund or exchange on the amount which has been paid. This member contract is non-transferable. Also, 30% penalty charged on the total amount of the contract in case of cancelation. Before signing this document. I have read, understood and herby agreed to the terms and conditions of membership.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
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    12 Months $6512 Months $8512 Months $12012 Months $14012 Months $320
    12 Months $7512 Months $9512 Months $14012 Months $16012 Months $420