Signature Skin Care Membership Enrollment Form

CLEMENTINES SALON & SKIN CARE SIGNATURE MEMBERSHIP ENROLLMENT AND CONSENT FORM

Please complete this form to finalize membership enrollment.
Please fill complete the open fields below.*
I understand that this membership requires an initial three month commitment. After the first three months, the membership becomes a month to month membership where I may cancel at anytime without a fee. If I cancel within the first three months, there will be a cancellation fee of $100.*

I understand
I understand that I may freeze my membership for up to two months. I will still have access to non-expired accrued services during the freeze period. However, retail and service discounts will not be usable during this time.*

I understand
I understand that I may transfer my membership services to another recipient once every six months, for no more than two times per year*

I understand
I understand that services expire 60 days after accrual.*

I understand
I understand that I may use residual non-expired accrued services after cancellation. However, these services will expire 30 days after cancellation date*

I understand
Skin Care Membership

$169/month

Includes:

Signature Hydrafacial, Geneo, Oxygen Facial, Prodigey Peel Chemical Peel, or Yumi Lash Lift. SkinPen Microneedling is also available for an additional fee.

Benefits:

10% off all waxing services

10% off all skincare services with the exception of microblading

10% off all non-discounted products with the exception of extensions

Exclusive retail and service specials
Indicate your consent to the terms and conditions of this agreement by clicking on the "I accept" button*

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CLEMENTINES SALON & SKIN CARE SIGNATURE MEMBERSHIP ENROLLMENT AND CONSENT FORM