Moana Beauty Spa - Customer Purchase Authorization & Agreement

Moana Beauty Spa - Customer Purchase Authorization & Agreement

Please review the purchase details, acknowledge the terms, and provide your signature to complete the process.
Company Information
Customer Full Name

First NameLast Name
Customer Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Customer Email Address
example@example.com
Billing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Purchase Date

MonthDayYear
Date
Invoice/Order Number
Payment Method
Last Four Digits of Card (if applicable)
List of Products or Services Purchased
Total Amount
Notes (Optional)
Upload Image of Receipt

Cancelof
Upload Image of Customer ID

Cancelof
I have received all listed products/services.
I have reviewed the item details, price, quantity, and total, and I confirm the products/services were received as described and in good condition.
I understand this purchase is final sale and, unless approved in writing by Moana Beauty Spa, there are no refunds, exchanges, returns, or cancellations.
I authorize the payment listed above and agree to contact Moana Beauty Spa first to resolve any issue before contacting my bank or card provider.
I confirm the uploaded ID belongs to me, matches the purchaser, and that all information provided is accurate.
Customer agrees to contact Moana Beauty Spa directly first about any purchase concern
Terms & Conditions / Client Agreement
The client acknowledges and agrees to the terms before signing below.
Package Policy: Unused sessions have no cash value, are not refundable, and expire 12 months from the purchase date unless otherwise stated in writing.
Deposit Policy: Deposits and appointment reservation fees are non-refundable and may be forfeited for late cancellations, same-day cancellations, late arrivals, no-shows, or failure to provide required information.
Retail Product Final Sale: Retail products, opened or used products, damaged or tampered products, skincare products, wellness products, special-order items, and promotional items are final sale.
Terms & Conditions: All sales are final unless otherwise stated in writing by Moana Beauty Spa. No refunds or cancellations apply except where expressly approved in writing. Deposits, reservation fees, packages, prepaid services, and retail products are subject to the policies above. Results may vary, and customers are responsible for appropriate aftercare and following all instructions provided. Customers should disclose relevant health information before treatment, understand that services are not medical advice, and agree that Moana Beauty Spa may refuse, pause, or discontinue service when appropriate for safety, policy, or professional reasons. Purchase concerns should be raised directly with Moana Beauty Spa first. Documentation and photos may be used for business records, and personal belongings remain the customer’s responsibility during visits.
Please review the statements above carefully before signing. By continuing, you confirm your understanding of the purchase details, policies, and responsibilities associated with this authorization and agreement.
Customer Signature
Date Signed

MonthDayYear
Date
Staff Member Name
Should be Empty:

Moana Beauty Spa - Customer Purchase Authorization & Agreement

Company Information