Thank you for your interest in the Bella Neurotoxin Membership!
Please read the terms below and fill out the following form to enroll in the program.
You will not be charged until you come in for your first visit!
Exclusive Member Benefits
- Complimentary Consultation & Personalized Treatment Plan
- $10/unit for Neurotoxin Injections (Regularly $12/unit)
- 30 FREE units every 90 days
- 15% Off All Skincare
- 25% Off Your First Sculptra Treatment
- 50% Off Your First Treatment for any other services (Up to 3 services)
- 50% Off All Facial Add-ons
Terms & Conditions
- Membership Fee: $99/month, charged via auto-payment from the card on file. NO INITIAL FEE.
- Billing Cycle: Auto-renews each month on the 1st or 15th, whichever date is soonest at the time of sign-up. Auto-renews each month unless terminated at least two (2) weeks before the next renewal date.
- Payment Details & Late Payments: In the event of a failed payment, the membership benefits will be paused until the payment is resolved.
Cancellation Policy
- Cancellation Notice: Members may cancel at any time with two weeks’ written notice.
- Cancellation Request Submission:
- All cancellation requests must be emailed to admin@bellavisage.info at least two (2) weeks prior to the next scheduled payment.
- Requests received after this period will take effect in the next billing cycle, with no refunds for the current month.
Membership Renewal
- Memberships automatically renew each month unless a cancellation is submitted in accordance with the policy above.
- Memberships are non-transferrable and intended for use by named member only.
Bella Neurotoxin Membership Agreement
By filling out this form and signing this agreement, I confirm that I have read, understand, and agree to the terms and conditions of the Bella Neurotoxin Membership. I authorize Bella Viságe Medical & Aesthetic Rejuvenation to charge my credit card on file for the monthly membership fee of $99 until I cancel according to the terms outlined above.