Membership Agreement Form

Membership Agreement
Membership Options (Please choose one):
Buyer authorizes StressBusters to charge the credit card listed below, for the amount chosen above, on the date of Buyer's first service, and every month thereafter on the first day of each month. This contract is for a minimum period of six (6) months, with a month-to-month ongoing payment structure. Payments will continue after the six (6) month period, unless Buyer cancels this agreement per the cancellation policies listed below.
(4 digits on the front for AMEX, all others 3 digits on the back)
Buyer's signature represents that they have read, and agree to, the entre contents of this document including the Additional Terms and Policies listed below.