Eats&Esthetics Payment Plan Form

Eats&Esthetics Payment Plan Form
Client Name

First NameLast Name
Client Phone Number
Format: (000) 000-0000.
Client Email
example@example.com
Current Date

MonthDayYear
Date
YOUR PAYMENT WILL BE SPLIT IN 4 PAYMENTS.YOU MUST PAY YOUR FIRST PAYMENT BEFORE YOUR FIRST APPOINTMENT.ONCE THIS FORM IS COMPLETED IT WILL SEND YOU TO YOUR FIRST PAYMENT.ONCE FIRST PAYMENT IS PAID THEN YOU CAN BE BOOKED🙂
WHAT IS THE FULL AMOUNT YOU WANT TO SPEND? (REMEMBER THIS TOTAL WILL BE SPLIT IN 4 PAYMENTS)
PLEASE ENTER THE AMOUNT OF YOUR FIRST PAYMENT(you will be directed to pay this amount on the next page)

prevnext( X )
USDDescription
Client Signature
Should be Empty: