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VIP CLUB APPLICATION FORM - At One Day Spa

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<strong>VIP</strong> <strong>CLUB</strong> <strong>APPLICATION</strong> <strong>FORM</strong><br />

First Name: ________________________ Surname: ________________________<br />

Title*: Mr/Mrs/Ms/Miss/Other______<br />

Membership Type*: Bronze / Silver / Gold / Platinum<br />

Address: ______________________________________________________________________<br />

______________________________________________________________________________<br />

Contact Number: Primary: ______________________ Secondary: ______________________<br />

Email Address: ____________________________________________________________<br />

Date of Birth: ____/____/____<br />

Wedding Anniversary: ____/____<br />

Date of first membership payment: __/__/__<br />

Paid by*: Cash/Card<br />

I confirm that I have read, understand & agree to the terms & conditions of membership. I confirm that I<br />

will continue membership for a minimum of six months and that my membership standing order will<br />

continue until I request it is stopped.<br />

Signature___________________________________________ Date __/__/__<br />

STANDING ORDER INSTRUCTIONS<br />

Your name: _______________________________________________<br />

Your bank’s name: _______________________________________________<br />

Your bank's address: _______________________________________________________<br />

_______________________________________________________________<br />

Bank Sort Code: ___:___:____ Bank Account No: _______________________________<br />

Bank account name: __________________________________________<br />

Please pay:<br />

Bank: Santander, PO Box 383, 21 Prescot Street, London E1 8RP<br />

Account Name: <strong>At</strong> <strong>One</strong> Health and Beauty Ltd<br />

Account number: 27399199 Sort Code: 09-01-28<br />

The sum of £29 / £49 / £79 / £99* on 1 st of the month until<br />

further notice starting from 1 st of ________________________ [insert month and year]<br />

Your Signature: __________________________<br />

Today's Date: ___/___/___<br />

* Delete as applicable.


<strong>VIP</strong> Club Terms & Conditions<br />

1) <strong>VIP</strong> Club Memberships are limited in number. We will operate a waiting list where necessary.<br />

2) Memberships are not transferable. Only the named member can enjoy the treatments and<br />

privileges of their membership.<br />

3) You must maintain membership for at least six months.<br />

4) The monthly fee should be paid on the first working day of the month by standing order, with the<br />

first month being paid in advance by cash or card.<br />

5) The monthly allowance of treatments must normally be taken within each calendar month.<br />

Subject to prior agreement, if required, we will allow one month in every six to be carried<br />

forward to the next month.<br />

6) Members are responsible for booking in advance to ensure availability of appointments.<br />

7) Our cancellation policy applies. Failure to cancel without 24 hours notice will result in your<br />

scheduled treatment being marked as taken and will not be refunded.<br />

8) Standard <strong>Spa</strong> Terms & Conditions apply except where superseded by <strong>VIP</strong> Club Terms & Conditions.<br />

9) Treatment discounts apply to all treatments including offers, but cannot be added to discounts<br />

awarded through other schemes (e.g. corporate discount schemes).<br />

10) Retail discount applies to full price retail items only and is not applicable to "sale" items.<br />

11) Voucher discount applies to the purchase of vouchers for friends & family. Voucher terms &<br />

conditions apply.<br />

12) We regret that we cannot offer discounts as standard on third party providers such as Tinkable,<br />

although we may from time to time make <strong>VIP</strong> only special offers from third party providers.<br />

13) Some <strong>VIP</strong> Offers may be applicable only to certain levels of membership.

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