THE COLLECTIVE HEAD SPA
MEMBERSHIP FORM.
Full Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Which membership are you interested in?
*
The Basic Founding Membership $99
The Hydrafacial Membership $199
Brazilian Wax Membership $50
Name on Card
*
Card Number
*
Expiration
*
CVC
*
Zipcode
*
You will be charged on the 1st of every month. 3 month commitment required, after that you will be charged on a month to month basis. 30 day cancellation notice required. Do you agree?
*
Signature
*
Continue
Continue
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