Jody Turner: Owner
Therapy Based Wellness, LLC DBA: Noblesville Massage Therapy
14074 Trade Center Drive, 139
Fishers, IN 46038
MONTHLY MASSAGE MEMBERSHIP AGREEMENT
oOne 60-minute massage for $75/month
oOne 90-minute massage for $145/month
The above charges will be made on the 1stof every month or in 30 day cycles unless cancelled one month in advance.
All inclusive services include: heated towels, analgesic rubs, use of gua sha/graston tools, e-stimulation, and cupping.
Not included: ultrasound, spa services
*Additional massages during the month at the same price, charged at the time of service.
Month to month agreement for twelve months. You may cancel this agreement at any time with 30-day advance written notice.
MEMBERSHIP PAYMENT SELECTION
Please charge my card on the first day of each month ______
CREDIT CARD INFORMATION
Name as it appears on your card:__________________________________________________________ Credit Card Number: ________________________________________________________________ Expiration Date: _____________ CVV Code: ________________ Billing Zip Code: ______________
Monthly Massage Membership Agreement Cont’d
By signing below, I authorize Jody Turner,Therapy Based Wellness, LLC ; DBA Noblesville Massage to charge the account I have specified on this agreement.
______________________________________________ _________________________ Signature. + Date
______________________________________________ Signature of Witness + Date