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