MEMBERSHIP AGREEMENT

SIGN UP HERE

​

Please copy and paste this form into a word document, fill in the blank areas with your information and membership option, and email it to nourishmentnutrition@gmail.com or drop it into the "Get In Touch" page email form. Thank you!

Membership Agreement: This membership agreement between Nourishment Nutrition and                         (Member Name) becomes effective on             (date). Payments will occur on the 1st of every month in the amount of $        with the                          membership option.

NOTE: YOU MUST HAVE HAD AN INITIAL CONSULT TO BE ELIGIBLE FOR MEMBERSHIP.

 

Membership Options

  • I'm Nourished:

    Two, 30 minute consults per month for $100.00 dollars

  • Beyond Nourished:

    Three, 30 minute consults per month + 5 new, personalized recipes for $160.00

  • Premium Nourishment:

    Four, 30 minute consults per month + updated meal plan, recipes, supplement guidance, and food tracking for $260.00

 

  Terms of Membership Agreement:

  • Please copy and paste this form into a word document, fill in the blank areas with your information and membership option, and email it to nourishmentnutrition@gmail.com or drop it into the "Get In Touch" page email form

  • By electronically filling in, signing and emailing this document​ you give Nourishment Nutrition, LLC permission to charge your card for the specified services on this form. 

  • The initial membership period should be for a period of three months (the “Initial Period”). A member shall not be entitled to terminate or suspend his/her membership during the Initial Period.

  • After the Initial Period, the membership shall continue month to month. Either party may cancel this agreement at any time by giving written notice to the other party.

  • If you wish to make a payment using a form other than the card on file please contact Nourishment Nutrition at nourishment.nutrition@gmail.com prior to the 1st of the month to make the alternative payment.

  • This Agreement is personal to the member and may not be assigned, transferred or otherwise disposed of by the member.

  • Applicants for membership must be at least 18 years old.

  

I,                                                   hereby agree to the Nourishment Nutrition Membership Agreement as stated above.

  

Signature                                                               Date                                    

 

 

 

 

 

 

Credit Card Authorization

 

Card Holder Name:                               

Type of Card:                      

Card Number:            -             -              -              

Expiration Date:       /        

CVC (3 digits):            

Billing Address:                                                        

                                                                                   

                                                                                                                 

                         

 

I hereby authorize Nourishment Nutrition, LLC to charge my card above per the aforementioned terms of this membership agreement.

 

 

Signature                                               Date