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Tox Day Membership

VIBE Aesthetics & Wellness

TOX DAY MEMBERSHIP & FINANCIAL AGREEMENT

MONTHLY MEMBERSHIP PAYMENT

I authorize VIBE Aesthetics & Wellness to automatically charge my payment method on file $100 each month for my TOX Day Membership.

The membership will automatically renew monthly until canceled.

If a payment is declined or cannot be processed, membership benefits may be suspended until the account is reactivated.

I understand that I am responsible for keeping a valid payment method on file.

MEMBERSHIP TERMS

Membership pricing applies only while the membership is active and in good financial standing.

Membership pricing:

  • Cannot be transferred to another person
  • Cannot be combined with other discounts, promotions, coupons, or special pricing unless specifically approved by VIBE
  • Applies only to qualifying services determined by VIBE

All treatments remain subject to consultation, medical assessment, contraindications, and provider approval.

VIBE reserves the right to modify membership benefits, eligible products, or membership pricing.

CANCELLATION

Membership may be canceled anytime.

Membership benefits remain available through the member’s paid membership period, provided the account remains in good standing.

Previously paid membership fees are non-refundable, including months in which the member does not receive treatment.

If a membership is canceled and the patient later chooses to re-enroll, enrollment will be subject to the membership pricing, terms, and availability in effect at that time.

TREATMENT & PAYMENT RESPONSIBILITY

The membership provides access to the applicable TOX Day member pricing available at the time of treatment.

The patient understands that the number of units recommended and the total treatment cost will vary depending on treatment area, individual anatomy, treatment goals, product selected, and provider recommendation.

ACKNOWLEDGMENT & AUTHORIZATION

By signing below, I acknowledge that:

  • I have reviewed and understand the TOX Day Membership terms.
  • I authorize the recurring $100 monthly membership charge.
  • I understand that my membership will continue until canceled according to this agreement.
  • I understand that membership fees are non-refundable.
  • I understand that membership does not guarantee treatment and that all medical services require provider approval.
  • I understand that membership pricing and benefits may be modified by VIBE with appropriate notice.
  • I agree to notify VIBE if my payment information changes.

I voluntarily agree to participate in the VIBE TOX Day Membership and authorize the recurring charges described in this agreement.

MEMBER AUTHORIZATION

Patient Signature: __________________________Date: __________

VIBE Representative: ________________________Date: __________

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