20 units for $147 INJECTION CLUB MEMBERSHIP

QHW Membership You must Submit this form with payment info to claim this offer: 20 units Botox for $147 OR join our VIP CLUB for the 2 exclusive options for bigger savings

Complete our Injection Club Agreement to secure $147 for 20 units of Botox ENDING ANY DAY Note- You will NOT be charged $147 for the 20 units until time of service, unless you choose that option below. --->Check out our price menu for monthly payment options and prices images above
20 units Botox for $99 How do I pick my savings plan? Choose your member tier by selecting : 1. Brand of toxin (all are basically the same) 2. Choose how often you will come in (3 or 4 months) form below 3. Choose how many units you think you need. (Generally a unit per year of age is a good estimate to start with) then you will know your pricing on additional units AND filler or thread discounts (all brands) *see membership below

It really is as good as it sounds!
SO HOW DOES IT WORK?

☆Think of it like a layaway for future services ☆As a member you get ☆The BEST price per unit & FILLER DISCOUNTS for life PLUS we waved the sign. up fee of $250 until June 30! ☆We deduct a monthly amount from your checking and bank it for you for future use on injections. ☆There are NO hidden fees. ☆Price per unit based on plan you choose below. ($8-11.50) ☆We store all your monthly payments and include discounts on filler threads and Aesthetics! ☆Come in for regularly scheduled botox with out paying hundreds out of pocket, pick the exact plan you want below, keep the same injector and get the best guaranteed results. ☆You may cancel after 3 months.
Note: Ask us your questions! To learn more or to pay over phone please call or text (801)930-9381

Check us out on Facebook, Instagram and Tiktok for injector info and Gallery!
Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Phone *
Email *
example@example.com
Choose which option you would like withdrawn monthly *You can change plans anytime

Please note: As an extra perk 10% off filler when you select 20 units 15% off filler when you select 30 or 40 units ATTENTION!!! YOU CAN GET 20% off ANY SERVICE when you go with our VIP membership.
Injections Every 3 Months Dysport or Xeomin

20 Units - $63.33 30 Units - $90.00 40 Units - $113.33 50 Units - $141.33 60 Units - $160.00
Injection Every 4 Months Dysport or Xeomin

20 Units - $47.50 30 Units - $67.50 40 Units - $90.00 50 Units - $106.00 60 Units - $120.50
Injections Every 3 Months Allergan Brand BOTOX

20 Units - $77.00 30 Units - $105.00 40 Units - $133.66 50 Units - $158.00 60 Units - $180.00
Injection Every 4 Months Allergan Brand BOTOX

20 Units - $55.50 30 Units - $78.00 40 Units - $100.00 50 Units - $118.54 60 Units - $135.50
I WANT THE VIP MEMBERSHIP FOR ANY QHW SERVICE OFFERED (ALL)

$150 BANKED each month & 15% off any service *see more perks in graphic above $250 BANKED each month for 15% off any service plus+ more perks!
Would you like to prepay the $147 for the 20 units today as well? Charge me and start my membership TODAY. *

Yes, I'll pay $147 and store the 20 units until I make an appt. No, just charge me for the membership to secure the $147 deal.
I authorize Quintessence Health and Wellness to
charge my monthly membership fees to my financial institution via Electronic Funds Transfer service, with the credit/debit information that I have provided.

I understand that I am in full control of my payment, and if at any time I decide to make any changes to my credit/debit card information, I must submit to Quintessence Health and Wellness the new banking information before the next due date. If at any time I decide to terminate my membership, I am required to give Quintessence Health and Wellness a written notice 30 days prior to my next scheduled payment. I also understand no refunds will be issued after membership due has been charged. Change of payment method will not affect other provisions and terms of my agreement.
Injector preference *
Which location would you like? *

New Draper location 12340 s 450 east Inside The Wellness Underground 210 n main street Kaysville, Utah
Card Information is kept secure- joining is risk free. we guarantee our services

Card Holder Name

Card Number

Expiration CVV Code

Postal / Zip Code
Member Signature *

Clear
Date *

Month Day Year
Date
Press submit and you will be redirected to the self scheduler to book an appointment.

Or press submit and exit to schedule later
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QHW Membership You must Submit this form with payment info to claim this offer: 20 units Botox for $147 OR join our VIP CLUB for the 2 exclusive options for bigger savings

SO HOW DOES IT WORK?

Note: Ask us your questions! To learn more or to pay over phone please call or text (801)930-9381

Choose which option you would like withdrawn monthly *You can change plans anytime

Press submit and you will be redirected to the self scheduler to book an appointment.