Neurotoxin Membership Request Form

Bonus Guidelines

Sign Up Bonus: This is a 1 time bonus for signing up for the program, and should be valued at $300-500. Examples include: Laser Facial, Laser Peel, SuperFacials etc. You can also combine treatments ie. Hydrafacial + Dermaplaning + LED. The more value you offer in the bonus, the more sign ups you will get.

Ongoing Bonus: This is a bonus the client gets on each of their injection visits. Choose something that can be donw with little to no fulfillment cost (Cryofacial, Red Light Therapy, Dermaplaning)

Please include the brand name, membership unit cost, and regular unit cost. For example. Botox - member cost $10/unit, regular cost $13/unit.

Any additional perks members get. We recommend keeping this SIMPLE ie. members enjoy 10% off all other products and services. If none, leave this field blank.

Please let us know if there are any special notes or requests you have. If none, leave this field blank.

Membership Payment: We strongly encourage you to use our payment system because it removes all friction and makes purchasing a membership easy, and integrates with our systems seamlessly. If you have a separate system, please provide details.

Leave blank if using our stripe integration