Club CVWC Contract
Date __________ Name______________________ Phone______________________
Street Address________________________________________________________
City _____________________________ State ____________ Zip Code __________
Email _______________________________________________________________
Club Membership - $45* per month for 12 months
Club Rate (Relaxation ONLY) - 60 minute Relaxation Massage - $50*
*subject to applicable sales tax
I understand and agree with the following terms and conditions of this membership that apply solely to relaxation massages only:
___ I understand that my credit card will be charged $_________ on the ______day of each month for 12 months which entitles me to receive one (1) 60 minute Relaxation Massage each month. I further understand that Massage services are available by appointment only and it is my responsibility to schedule and receive a monthly Relaxation Massage at CVWC by calling (216)364-0152.
___ Cancellation of an appointment must be received 24 hours prior to my appointment. Late cancellation will be charged 50% of service fee and no-shows will be charged full price of scheduled appointment. To cancel an appointment call (216)364-0152 or email appointments@chagrinvalleywellness.com. Voicemails and emails are confirmed at the start of each business day.
___ I understand that I may purchase additional Relaxation Massage(s) at Club Rate, listed above.
___ I understand that I may share my membership with my immediate family listed here:
NAME-__________________________ NAME-__________________________
NAME-__________________________ NAME-__________________________
NAME-__________________________ NAME-__________________________
___ I understand that if, due to unavoidable circumstances, I am not be able to schedule an appointment, during a given month, I may FREEZE my membership or roll over one month’s massage to the following month. I must provide a 7-day notice of request to FREEZE or rollover prior to the ___ of the month in which I wish my membership to be frozen or rolled over. I am permitted one (1) rollover and one FREEZE. Accounts may be frozen for a minimum of 30 days and a maximum of 6 months. Upon reactivation, the contract will be extended for the period of time it was frozen.
___ I understand that Club Rates apply to Relaxation Massage ONLY and cannot be combined with any other offers, discounts or packages; I understand that amounts paid for membership and any additional services are non-refundable.
___ I understand that in accordance with Ohio law, I HAVE A 3 DAY RIGHT OF RESCISSION OF THIS CONTRACT; THAT PERIOD BEGINS ON _____________201_.
Further, I will comply with all items of this agreement.
Member Signature ____________________________________ Date __________________
Credit Card Automatic Payment Authorization
I hereby authorize CVWC to charge my credit card in the amount specified above in compliance with this agreement. My credit card information is:
Name as appears on Card ____________________________________________________
V-MC-D- _______________________________ Exp. Date__________ CVV code_______
Billing Zip ______________
I agree to pay the above credit card charges in accordance with the Card Issuer Agreement. I
understand that CVWC will automatically add a 5% processing fee to all declined charges.
Card Holder signature ________________________________ Date____________________
Witness _________________________________
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