Discount Acknowledgment Form
This form must be completed to receive a promotional discount on tutoring services. By submitting this form, you acknowledge the terms of the discount, including the standard rate that will resume after the promotional period ends.
Client & Student Information
Client Name
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First Name
Last Name
Email Address (for confirmation & coupon delivery)
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example@example.com
Phone Number (for text message delivery, if preferred)
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Please enter a valid phone number.
Student Name
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First Name
Last Name
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Discount Details
Please select the discount that you would like.
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Power Start: Free 40-minute consultation for new families.One per student, consultation form required, and a card on file is needed to hold your spot.
Comeback Deal: 30% off your first month (up to $350) when returning families sign up for 2+ sessions/week. Must be inactive for 30+ days, 4-week minimum required, discount applies to first 30 days only.
Stack & Save: Get $170 credit when you add a session or enroll a sibling for 4 weeks.New session/sibling must be in addition to current schedule and remain enrolled for 4 weeks to receive credit in Week 5.
Free Consultation Acknowledgment: I understand that this offer is limited to one free consultation per student and requires an consultation agreement form to be completed. I agree to keep a credit card on file to reserve the spot, and I acknowledge that a $50 fee will apply if I no-show or cancel within 24 hours of the confirmed consultation.
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I understand
Returning Family Discount Terms: I understand that this discount is only for families who have not received tutoring from Study Buddy in the past 30 days. To qualify, I agree to enroll in a minimum of two sessions per week for at least four weeks. The 30% discount (up to $350) applies to my first invoice only. If I cancel early, I understand that I will be responsible for the full balance without the discount. I understand that the discounted rate applies only during the promotional period stated above and that after the end date, the standard rate will be automatically charged.
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I understand
Add-On Credit Agreement: I understand that the $170 credit is only available when I add a new session or enroll a sibling, and that it must be in addition to my current schedule. The added session/sibling must remain enrolled for four consecutive weeks, and the credit will be applied in Week 5. If the new session or sibling is dropped early, the credit will not be issued.
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I understand
I understand that this discount cannot be combined with other promotions, offers, or credits.
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I understand
I confirm that I meet the eligibility requirements for this promotion as stated in the offer.
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I confirm
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Acknowledgment & Terms
I understand that this discount is valid only for the stated promotional period and that after the end date, the standard rate will automatically resume.
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I understand
I acknowledge that I will receive my discount code via the email or phone number provided above.
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I acknowledge
I confirm that I am the authorized account holder and am submitting this request as the parent/guardian of the Perfect Choice Study Buddy student.
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I confirm
I agree to the terms and conditions of this promotion.
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I agree
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Preferred Delivery Method for Coupon Code
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Email (sent to the email address provided above)
Text Message (sent to the phone number provided above)
Client Signature
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