STEP 1: Membership Options

Massage Packages
Zip Code:

STEP 2: Client Information

Click Here to Go to Step 2!

Primary & Add-on Members

Payment Method

Member Full Name: *

E-mail: *

Phone: *

Cell Phone:

Mailing Address: *

City: *

State: * Zip: *

Driver's LIcense #: *

Gender: * Date of Birth: *

Emergency Contact Name: *

Emergency Contact Phone: *

Family Add-on:†

†"Add-on" lets you share member prices with 1 family member living in the same household (Premium 12 Membership only).

Debit/CC #: *

Card Exp: * CVV: *

Name on Card: *

Use my mailing address for billing

Biling Address: *

City: *

State: * Zip: *

STEP 3: Confirm & Finalize

April 25, 2011 6:20 PM Agreement

Amount Due Today

Edit

Bi-Weekly Member Due:

^$

One-time Enrollment Fee:

^$

Card Fee:

^$

Subtotal:

^$

(6.75%)

Sales Tax:

^$

Total Due Today:

^$

Bi-Weekly Payment Amount:	^$ (+ Tax)
(Using CC/Debit card above)

Member Info

Edit

Name: {}

E-mail: <email>

Phone: <phone>

Gender: <genderM/F>

Preferred Payment

Edit

Credit Card: <TYPE> ************<last-4> Exp: <mm/yy>

Name on Card: <buyer name>

Blling Address

Membership Type

Edit

I accept the terms of this Agreemnet. Member Acceptance - By selecting the "I accept the terms of this Agreement" checkbox, you are electronically signing this contract. You acknowledge that you have received & read a fully completed contract, that you have reviewed all personal information for completeness & accuracy, & that you agree to be bound by the terms above, including the Waiver & Release and spa rules & regulations. If you do not select this checkbox, your membership purchase will not be complete & your credit card will not be charged.

STEP 1: Membership Options

STEP 2: Client Information

STEP 3: Confirm & Finalize

Amount Due Today

Bi-Weekly Member Due:

One-time Enrollment Fee:

Card Fee:

Subtotal:

Sales Tax:

Total Due Today:

Bi-Weekly Payment Amount:

Member Info

Name: {}

Preferred Payment

Blling Address

Membership Type