Membership Agreement

Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
This agreement is between Tru Regenerative Health Care, hereafter referred to as Tru Regenerative Health, and blanks Hereafter referred to as “member”.
This agreement is entered on:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Membership-

Term of membership: Memberships are from 3 - 12 months depending on the plan selected below. Real plans is a minimum 6 month commitment.

Early termination of membership will be a $500.00 fee.

All cancelations must be done in person at our office for a signed notice of memberships cancelation.
Personal Chef Meal Prep Membership
Every Chef is a contractor. Tru Regenerative Healthcare is not liable for the contractor's actions, liability for property, or anything regarding their services aside from collecting payment.
Macro based Frozen Meals Membership
Name on Card
Card Number
Expiration Date
CVV
Zip Code
Signing below is giving Tru Regenerative Healthcare Permission to take Autopayments for membership selected from the card provided at the date of signing and any other card provided by the patient in the future.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: