Resident Salon Service Requests and Payment Set-Up
For residents that do not have access to their own funds we offer 2 options for paying for services. One option is keeping a credit card on file in our secure system thru the office of Milestone Salon Services. The card on file will be charged bi-monthly with our billing cycle. The other payment option is to be sent a monthly bill. If you prefer this, then you will need to sign a billing agreement and will receive a monthly invoice for the previous month. Please fill this form out to get your payment choice set up.
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Name of Resident *
Community Resident Lives In *
Name of Person Responsible for Payments *
Best Contact Phone Number *
Please select Payment Method if you choose to billed please note, the bill is due immediately. If it is not paid with in 15 days there could be a $10 late fee, *
Service(s) Requesting, Please be specific if you have not communicated with the salon provider yet. For example, a shampoo set weekly, haircut every 6 weeks. *
Email *
Would you like gratuity to be added for you? How much per service? Or a percentage? It is very appreciated by the salon staff. *
If you need to make an appointment please call the salon staff directly. Please see below for a list of numbers:
Allegro Senior Living, Stella 314-443-6924
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