Afterpay Request
Interested in using Afterpay to purchase a discounted session package? Fill out this form to receive an invoice with the option to spread payments over six weeks at no additional cost!
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Which discounted session package are you planning to purchase?
*
6 Session Package - $945
10 Session Package - $1487.50
20 Session Package - $2800
Are you purchasing the session package for someone else?
*
Yes
No
If yes, please let us know the name, email address and phone number of the person who will be using the sessions so that we can apply the sessions to the right person!
Comments:
Submit
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