There is a one time Membership Fee of $15
Monthly Unlimited Only $29
Please provide the following contact information:
First Name Last Name Phone Store you will Tan at (Arnold or South County) E-mail Billing Address City Zip
First Name
Last Name
Phone
Store you will Tan at (Arnold or South County)
E-mail
Billing Address
City
Zip
Please provide your account information:
visa , mastercard, discover, amex, checking, savings # Routing number 9 digit # on bottom left of check (if you are using this account for debit) Expiration Date if using credit card Date You will start Tanning I authorize L.A.RAYS to debit my account in the amount of $29 on the 5th of every month Any changes or cancellation to my account must be made at the store by the 17th of the previous month Cancel at any time after 3 months Any account past due will be canceled There is a one time Membership Fee of $15 After you submit this form your account will be charged
visa , mastercard, discover, amex, checking, savings #
Routing number
Expiration Date
Date You will start Tanning
I authorize L.A.RAYS to debit my account in the amount of $29 on the 5th of every month
Any changes or cancellation to my account must be made at the store by the 17th of the previous month
Cancel at any time after 3 months
Any account past due will be canceled
After you submit this form your account will be charged
