Deferred Payment Agreement Form

Therapist Name AlkaPriyaSeemaEvaDeep Client Name Staff/Client Email Client Full Address Booking Date & Time Treatment Client received: ThreadingTintLaminationLash LiftLash ExtensionBody WaxingManicurePedicureShellac NailsAcrylic NailsBody MassageFacialsDermaPlaning FacialHenna TattooOther Total Amount For Treatments Payment Status Total Amount Due When are you planning to pay? Id proof:

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suggestion has the client: Tried calling family or friends to pay over the phoneHave you checked your perus for bank card / cash paymentAsk client if they or their friends or family can pay oter the payment links Client Sign

Deferred Payment Disclaimer & Acceptance Note I, the undersigned client, confirm that the information provided is true and that I have received the treatment(s) listed above at Seema’s Beauty Salon Ltd. I am currently unable to pay in full or in part and have agreed to settle the outstanding amount on or before the date stated above. I understand this arrangement is a one-time goodwill gesture and not standard policy. By signing this, I accept full responsibility for the unpaid balance. If I fail to pay, Seema’s Beauty Salon Ltd reserves the right to: Visit the address provided to recover payment, Contact my family or friends if I am unresponsive, Report the matter to law enforcement, Publicly disclose the non-payment incident. I waive all rights to dispute this agreement or its consequences. Submit

Expert Team