Heavenly Garden A Spa Club Card
(Paper forms are available upon request) Club Cards will be issued upon first visit.
Name
Your answer
Best Phone Number:
Your answer
E-Mail
Your answer
Billing Address
Your answer
Billing Zip Code
Your answer
Credit/Debit Card Number
Your answer
Credit/Debit Card Expiration Date
Your answer
Credit/Debit Card CVV
Your answer
Subscription Package
Please select one monthly subscription package. You may upgrade at anytime.
Please list your preferred days and times to receive a massage/facial/waxing :
Your answer
Preferred Massage Therapist(s)
Your answer
Referred by:
Optional
Your answer
Disclaimer:
Subscription rates start at $55 per month and can be used towards a 60 min massage or facials/waxing services up $55. Account will be automatically charged between the 1st and 5th of every month, through "Heavenly Garden A Spa Square Register". You may cancel anytime after your first two payments. Skip up to 6 months of hourly massages without having to cancel, by contacting us via email heavenlygardenaspa@gmail.com. Subscribers have the option of gifting pre-paid massages by transferring monthly credit to another gift card for a small transfer fee of $5.
By entering your initials in the box below, you are effectively providing your signature, acknowledging that you've read this disclaimer and agree to have your credit/debit listed above charged every month between the 1st and the 5th day of each month.
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms