Cater Wellness Client Payment Plan

Cater Wellness Client Payment Plan
Name

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Client Service
Select Payment Option
Payment Agreement

I affirm that I would like to pay according to my selected payment option. I understand this is a legally binding document. I understand that there are no cash refunds for payments — only store credit and exchanges. I understand and agree that failure to pay all charges by the agreed payment due date may leave my account subject to a hold, and that additional penalties will be incurred in accordance with Cater Wellness late payment policy of 10% monthly. Cater Wellness also maintains the right to pursue collections and legal fees, if necessary, for any unpaid balances.

I also understand and agree that any payment made to Cater Wellness will be credited first to any delinquent charges accrued, and then applied to the remaining balance.
I Agree To
Date

MonthDayYear
Date
Signature
Management Signature
Should be Empty: