Basic Monthly Membership
Total Per Month: $199
MEMBERSHIP INCLUDES:
-Monthly Testosterone- Estrogen Blockers
-Save 10% on additional services each month
-Member- only discounts on retail services each month
Membership Terms & Payment Schedule
Your membership payment of $199 will be due on the date of each month chosen above, then due on or after the same day of each month hereafter until your membership expires or is terminated in accordance.
How It Works:
Your monthly membership price will be automatically drafted from your debit or credit card each month entitling you to 8 injections each month, on or after your scheduled payment date.
You may upgrade to a higher program with an additional charge in office.
Testosterone is a use it or lose it per month, NO REFUNDS OR EXCHANGES of any sort for monthly injections. You can have them shipped to you for a $10 charge.
The membership monthly fee is specified on the application above. As long as your membership monthly payment is made you will be considered an active member in good standing. If not in good standing you will not be able to pick anything up from your chart till it is current.
If through no fault of ours, your payment account does not contain sufficient funds to complete the transaction, or your payment account or credit card does not otherwise permit the transaction to be executed, you will be charged a $35 insufficient funds fee. We will contact you to update your account with a working payment method.
You have the right to receive a notice in the event that we make any change to the terms and conditions of your membership that will vary the amount to be periodically billed to your account specified above. Except as expressively provided herein, we may modify our services or the terms and conditions of the Agreement at any time without notice and such modifications shall be deemed effective immediately upon making such changes.
If not applicable, please put "NA".
PLEASE ENSURE ALL SIGNATURES ARE TRUE SIGNATURES OTHERWISE IT WILL BE SENT BACK