Check the box of the electronic skin care waiver before signing.

PAYMENT AGREEMENT CONTRACT - The Piggy Bank Fund

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Thank you for the opportunity to help you meet your skin care and facial aesthetic goals.
By This Contract you agree to make payments to Karaesthetics Ltd. Hereafter known as “lender” by the following schedule in exchange for the treatment plan discussed.

You have discussed payment options and agreed upon a payment plan using the ‘Piggy bank fund’ method. This payment schedule is enforceable by law and the methods described in this document will be used in cases of delinquent payments.

By this agreement, it is agreed that the total cost of treatment will be divided into 12 equal monthly payments.

Payments will be made on the same date every month for 12 consecutive months. There will be no interest or additional charges, providing the payments are made on time each month.

This agreement is binding and failure to meet its terms will allow the lender to take certain actions:

Late payments will incur a fee of £6 per week.

Insufficient payment or bounced payments will incur a fee of £6

Appointments cancelled within 48 hours will incur a £25 charge

In the event that payment is not delivered at all, the lender will not be obliged to complete the aforementioned treatment plan and may resort to contacting a debt collection service.

In addition the following terms and conditions apply:

As you are aware the full treatment plan will not be completed until full payment is received.

Therefore, 3 x monthly payments must be complete before receiving the initial treatment.

Treatments discussed at consultation will then be administered over a time scale of 9-12 months from initial treatment appointment.

This time scale will be discussed with your practitioner, for you to gain the best results from your treatment plan.

Each individual treatment appointment will require you to undergo a medical assessment.

If you need to reschedule an appointment, please give a minimum of 48 hours’ notice.

Payment will be made by standing order to

Karaesthetics Ltd
28638840
522152

Reference: your initials plus d.o.b (i.e. KH2708)

Which month will you start to make your payments? *Please enter your answer here.

On which date of the month will payment be made to karaesthetics? *

1st

7th

14th

Please select at least one choice above.

By checking this box, I agree to the terms described above. Alterations to this agreement can only be made by both parties and must be confirmed in writing. Both parties will receive a printed copy of this document and will be responsible for upholding the terms set out in this agreement. ... *Please check it here.

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